Healthcare Provider Details

I. General information

NPI: 1356716591
Provider Name (Legal Business Name): NONI ARNOLD NEMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2015
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13246 S LANGLEY AVE
CHICAGO IL
60827-1336
US

IV. Provider business mailing address

14818 MARTIN LUTHER KING JR DR
DOLTON IL
60419-2038
US

V. Phone/Fax

Practice location:
  • Phone: 312-730-3618
  • Fax:
Mailing address:
  • Phone: 312-730-3618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number528345-01
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: