Healthcare Provider Details

I. General information

NPI: 1689252074
Provider Name (Legal Business Name): THOMAS ALEXANDER ARNS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 NE GLEN OAK AVE
PEORIA IL
61637-0001
US

IV. Provider business mailing address

6742 N FROSTWOOD PKWY
PEORIA IL
61615-2402
US

V. Phone/Fax

Practice location:
  • Phone: 309-692-5393
  • Fax:
Mailing address:
  • Phone: 309-692-5393
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number125.077446
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number125.077446
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: