Active NPI
Arnold Arellano, LCPED, CPOA, CFO
- Pedorthist
- Skokie, IL
National Provider Identifier
1093217036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- CPED3591
- Practice address
- 5202 Old Orchard Road
N100
Skokie, IL 60077 - Phone
- (847) 475-7080
- Fax
- (847) 475-0241
- NPI assigned
- Mar 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 224L00000X | CPED3591 | IL | Primary |
Addresses
Primary practice location
5202 Old Orchard Road
N100
Skokie, IL 60077
Mailing address
1S376 Summit Ave
Court E
Oakbrook Terrace, IL 60181-3985
Phone (630) 705-4092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPED3591 | IL | MD | Pedorthist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520294400000",
"number": "1093217036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1S376 SUMMIT AVE",
"address_2": "COURT E",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601813985",
"telephone_number": "630-705-4092",
"fax_number": "630-424-0467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5202 OLD ORCHARD ROAD",
"address_2": "N100",
"city": "SKOKIE",
"state": "IL",
"postal_code": "60077",
"telephone_number": "847-475-7080",
"fax_number": "847-475-0241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARELLANO",
"first_name": "ARNOLD",
"credential": "LCPED, CPOA, CFO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-06",
"last_updated": "2018-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "IL",
"license": "CPED3591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.