Healthcare Provider Details

I. General information

NPI: 1982451597
Provider Name (Legal Business Name): LOVE AROBIEKE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2024
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 S MAIN ST
VIRGINIA IL
62691-1571
US

IV. Provider business mailing address

331 S MAIN ST
VIRGINIA IL
62691-1571
US

V. Phone/Fax

Practice location:
  • Phone: 217-452-3057
  • Fax: 217-452-3723
Mailing address:
  • Phone: 217-452-3057
  • Fax: 217-452-3723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019037383
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number019037383
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: