Healthcare Provider Details

I. General information

NPI: 1356375091
Provider Name (Legal Business Name): ARTURO MENESES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 W CENTRAL RD
ARLINGTON HEIGHTS IL
60005-2349
US

IV. Provider business mailing address

360 E SHERMAN AVE
ELMHURST IL
60126-4134
US

V. Phone/Fax

Practice location:
  • Phone: 847-618-3040
  • Fax: 847-618-3049
Mailing address:
  • Phone: 630-530-0599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146D00000X
TaxonomyPersonal Emergency Response Attendant
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: