Provider Demographics
| NPI: | 1831196476 |
|---|---|
| Name: | ROBIN, ARNOLD P (MD) |
| Entity type: | Individual |
| Prefix: | DR |
| First Name: | ARNOLD |
| Middle Name: | P |
| Last Name: | ROBIN |
| 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: | 1430 N ARLINGTON HEIGHTS RD |
| Mailing Address - Street 2: | SUITE 105 |
| Mailing Address - City: | ARLINGTON HEIGHTS |
| Mailing Address - State: | IL |
| Mailing Address - Zip Code: | 60004-4830 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 847-259-8226 |
| Mailing Address - Fax: | 847-392-5260 |
| Practice Address - Street 1: | 1430 N ARLINGTON HEIGHTS RD |
| Practice Address - Street 2: | SUITE 105 |
| Practice Address - City: | ARLINGTON HEIGHTS |
| Practice Address - State: | IL |
| Practice Address - Zip Code: | 60004-4830 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 847-259-8226 |
| Practice Address - Fax: | 847-392-5260 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2005-06-28 |
| Last Update Date: | 2016-06-22 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| IL | 036057176 | 207R00000X, 208600000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 208600000X | Allopathic & Osteopathic Physicians | Surgery | |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| IL | D13565 | Medicare UPIN | |
| IL | 31601993 | Other | BC/BS OF IL PROVIDER# |