Organization Active NPI

Arkos Health Illinois, LLC

  • Family Medicine Physician
  • Downers Grove, IL
National Provider Identifier
1235823899
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ARKOS HEALTH ILLINOIS, LLC
Practice address
1901 Butterfield Rd Ste 810
Downers Grove, IL 60515-7904
Phone
(480) 494-2465
Fax
(480) 534-4087
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly Karaniuk
Title
Director of Credentialing
Phone
(480) 494-2465

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1901 Butterfield Rd Ste 810
Downers Grove, IL 60515-7904

Mailing address

161 E Rivulon Blvd Ste 210
Gilbert, AZ 85297-0087
Phone (480) 494-2465

National Provider Directory

National Provider Directory

Locations

1901 Butterfield Rd
Ste 810
Downers Grove, IL 60515
Phone (484) 494-2465

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1235823899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 E RIVULON BLVD STE 210",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970087",
            "telephone_number": "480-494-2465",
            "fax_number": "480-534-4087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 BUTTERFIELD RD STE 810",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605157904",
            "telephone_number": "480-494-2465",
            "fax_number": "480-534-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKOS HEALTH ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "KARANIUK",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
        "authorized_official_telephone_number": "480-494-2465"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.