Provider Demographics
NPI:1457516494
Name:ARTHUR, CAROL (MS)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:SWIDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5019 N MOZART ST
Mailing Address - Street 2:ATTN: SOULTANA AMAXOPOULOS
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-3615
Mailing Address - Country:US
Mailing Address - Phone:773-293-3223
Mailing Address - Fax:
Practice Address - Street 1:2825 N HALSTED ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-5105
Practice Address - Country:US
Practice Address - Phone:773-549-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209000879367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife