Individual provider Active NPI

Annette Arnold, D.N.

  • Naprapath
  • Libertyville, IL
National Provider Identifier
1477794030
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
181.000352 Issued in IL
Practice address
1880 W Winchester Rd
Suite 102
Libertyville, IL 60048-5341
Phone
(224) 558-8508
NPI assigned
Mar 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naprapath 172P00000X 181.000352 IL Primary

Addresses

Primary practice location

1880 W Winchester Rd
Suite 102
Libertyville, IL 60048-5341

Mailing address

34219 N Bluestem Rd
Round Lake, IL 60073-5245
Phone (224) 558-8508

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
181.000352ILMDNaprapath

NPI Registry JSON

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236729600000",
    "number": "1477794030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34219 N BLUESTEM RD",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600735245",
            "telephone_number": "224-558-8508",
            "fax_number": "847-740-5531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 W WINCHESTER RD",
            "address_2": "SUITE 102",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485341",
            "telephone_number": "224-558-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARNOLD",
        "first_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "D.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-11",
        "last_updated": "2009-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172P00000X",
            "taxonomy_group": "",
            "desc": "Naprapath",
            "state": "IL",
            "license": "181.000352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.