Provider Demographics
NPI:1710932728
Name:ARNOLD M. TATAR, MD SC
Entity Type:Organization
Organization Name:ARNOLD M. TATAR, MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARNOLD
Authorized Official - Middle Name:M
Authorized Official - Last Name:TATAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-726-8800
Mailing Address - Street 1:111 W WASHINGTON ST
Mailing Address - Street 2:SUITE 1801
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-2703
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:111 W WASHINGTON ST
Practice Address - Street 2:SUITE 1801
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60602-2703
Practice Address - Country:US
Practice Address - Phone:312-726-8800
Practice Address - Fax:312-726-9460
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty