Healthcare Provider Details

I. General information

NPI: 1790491744
Provider Name (Legal Business Name): LUKE ARNFELT APRN, CNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2023
Last Update Date: 05/03/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 DELNOR DR STE 302
GENEVA IL
60134-4233
US

IV. Provider business mailing address

351 DELNOR DR STE 302
GENEVA IL
60134-4233
US

V. Phone/Fax

Practice location:
  • Phone: 630-232-0280
  • Fax: 630-232-3895
Mailing address:
  • Phone: 630-232-0280
  • Fax: 630-232-3895

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209.025302
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: