Provider Demographics
NPI:1942245865
Name:ARPS, ALAN (MD)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:
Last Name:ARPS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:87 N AIRLITE ST
Mailing Address - Street 2:SUITE 160
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4988
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:SUITE 160
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4988
Practice Address - Country:US
Practice Address - Phone:847-695-3333
Practice Address - Fax:847-695-3308
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4522536OtherBLUE CROSS BLUE SHIELD
ILF69667Medicare UPIN
IL541380Medicare ID - Type Unspecified