Provider Demographics
NPI:1891848404
Name:ALAN D ARPS PC
Entity Type:Organization
Organization Name:ALAN D ARPS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:ARPS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-695-3333
Mailing Address - Street 1:87 N AIRLITE ST
Mailing Address - Street 2:STE 160
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123
Mailing Address - Country:US
Mailing Address - Phone:847-695-3333
Mailing Address - Fax:847-695-3308
Practice Address - Street 1:87 N AIRLITE ST
Practice Address - Street 2:STE 160
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123
Practice Address - Country:US
Practice Address - Phone:847-695-3333
Practice Address - Fax:847-695-3308
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0360990812086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036099081Medicaid
IL4522536OtherBLUE SHIELD
ILF69667Medicare UPIN
IL4522536OtherBLUE SHIELD
IL036099081Medicare ID - Type Unspecified
IL541380Medicare ID - Type Unspecified