MEDICARE: NONI ARNOLD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747P1801X	Personal Care Attendant		IL
2	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1356716591
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NONI ARNOLD

Provider Business Mailing Address
First Line	:	214 E 134TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60827-1808
Country	:	US
Telephone Number	:	312-730-3618
Fax Number	:

Provider Business Practice Location Address
First Line	:	214 E 134TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60827-1808
Country	:	US
Telephone Number	:	312-730-3618
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2015
Last Update Date	:	03/10/2026

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Directions to “ NONI ARNOLD ” Practice Location

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