Provider Demographics
NPI:1790749455
Name:ARROTTI, JOHN J (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:J
Last Name:ARROTTI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:13011 S 104TH AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PALOS PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60464-1508
Mailing Address - Country:US
Mailing Address - Phone:708-478-3600
Mailing Address - Fax:708-478-3552
Practice Address - Street 1:13011 S 104TH AVE STE 100
Practice Address - Street 2:
Practice Address - City:PALOS PARK
Practice Address - State:IL
Practice Address - Zip Code:60464-1508
Practice Address - Country:US
Practice Address - Phone:708-274-3278
Practice Address - Fax:708-274-3299
Is Sole Proprietor?:No
Enumeration Date:2006-04-12
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036051397207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01621208OtherBLUECROSS BLUE SHIELD
IL236551OtherMEDICARE GROUP
IL036051397Medicaid
IL1508810086OtherGROUP NPI
ILCD8033OtherRAILROAD MEDICARE GROUP PTAN NUMBER
IL060042336OtherRAILROAD MEDICARE COOK
IL236550OtherMEDICARE GROUP
IL060043526OtherRAILROAD MEDICARE WILL
CN2703OtherRAILROAD MEDICARE GROUP PTAN NUMBER
CN2703OtherRAILROAD MEDICARE GROUP PTAN NUMBER
IL236551OtherMEDICARE GROUP
IL036051397Medicaid