Victoria Lynn Arsenault, MD
Individual provider Active NPI Pediatrics Physician · Morton Grove, IL
NPI 1104454958 · NPPES record last updated May 29, 2026
Key facts
- NPI
- 1104454958
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 036-164580 (IL)
- Practice address
- 9000 Waukegan Rd Ste 240
Morton Grove, IL 60053-2128 - Phone
- (847) 296-1177
- NPI assigned
- Mar 28, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-164580 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suburban Pediatrics, LTD. | Pediatrics | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECBBCA/Endpoint/ECBBCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036-164580 | IL | Yes |
Addresses
Primary practice location
9000 Waukegan Rd Ste 240
Morton Grove, IL 60053-2128
Mailing address
9000 Waukegan Rd Ste 240
Morton Grove, IL 60053-2128
Phone (847) 296-1177
Other practice location 1
1675 Dempster St
Park Ridge, IL 60068-1110
Phone (847) 318-9300
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | varsenault264200@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Morton Grove, IL
- Lauren Apa
- Sheila Arad
- Maria Arianas
- Samantha Armira
- Ermin Amros Arriola
- Asmsc-Morton Grove Il SC
- Aspire Home Health Care LLC
- Aspire Home Health Care LLC
- Aster Pharmacy LLC
- Augusto Guerra Autea
All providers in Morton Grove, IL · Pediatrics Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.