Organization Active NPI

Arthur N Skladman MDSC

  • Internal Medicine Physician
  • Arlington Heights, IL
National Provider Identifier
1811204274
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036070156 Issued in IL
Legal business name
ARTHUR N SKLADMAN MDSC
Practice address
415 W Golf Rd
Ste2
Arlington Heights, IL 60005-3929
Phone
(847) 228-0855
Fax
(847) 228-0858
NPI assigned
Sep 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Dr. Arthur N Skladman, MD
Title
President
Phone
(847) 228-0855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036070156 IL Primary

Addresses

Primary practice location

415 W Golf Rd
Ste2
Arlington Heights, IL 60005-3929

Mailing address

415 W Golf Rd
Ste2
Arlington Heights, IL 60005-3929
Phone (847) 228-0855

Other identifiers 1

IdentifierTypeStateIssuer
036070156MedicaidIL

National Provider Directory

National Provider Directory

Locations

415 W Golf Rd
Ste 2
Arlington Hts, IL 60005
Phone (847) 228-0855

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1811204274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD",
            "address_2": "STE2",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053929",
            "telephone_number": "847-228-0855",
            "fax_number": "847-228-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W GOLF RD",
            "address_2": "STE2",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600053929",
            "telephone_number": "847-228-0855",
            "fax_number": "847-228-0858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHUR N SKLADMAN MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "SKLADMAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-228-0855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036070156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036070156",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.