Healthcare Provider Details

I. General information

NPI: 1093246621
Provider Name (Legal Business Name): ARJUN DAYAL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2017
Last Update Date: 07/30/2021
Certification Date: 06/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2020 OGDEN AVE
AURORA IL
60504-5894
US

IV. Provider business mailing address

2020 OGDEN AVE STE 400
AURORA IL
60504-5898
US

V. Phone/Fax

Practice location:
  • Phone: 630-692-5563
  • Fax: 630-692-5564
Mailing address:
  • Phone: 630-692-5563
  • Fax: 630-692-5564

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number125.070597
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.070597
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number036156332
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: