Healthcare Provider Details

I. General information

NPI: 1285552042
Provider Name (Legal Business Name): ANTHONY S ARENDAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 CURTISS ST
DOWNERS GROVE IL
60515-4694
US

IV. Provider business mailing address

200 E 5TH AVE APT 420
NAPERVILLE IL
60563-3176
US

V. Phone/Fax

Practice location:
  • Phone: 331-903-6101
  • Fax:
Mailing address:
  • Phone: 630-280-6602
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number178.022206
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: