Healthcare Provider Details

I. General information

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

II. Dates (important events)

Enumeration Date: 12/13/2015
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 E 134TH ST
CHICAGO IL
60827-1808
US

IV. Provider business mailing address

214 E 134TH ST
CHICAGO IL
60827-1808
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 TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: