Healthcare Provider Details

I. General information

NPI: 1013883834
Provider Name (Legal Business Name): DR. KARL ERNEST ARRIOLA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 08/22/2026
Certification Date: 08/22/2026
Deactivation Date: 12/09/2025
Reactivation Date: 08/14/2026

III. Provider practice location address

3002 GRAND AVE
WAUKEGAN IL
60085-2321
US

IV. Provider business mailing address

3002 GRAND AVE
WAUKEGAN IL
60085-2321
US

V. Phone/Fax

Practice location:
  • Phone: 847-377-8010
  • Fax: 847-984-5961
Mailing address:
  • Phone: 847-377-8010
  • Fax: 847-984-5961

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number1225388812
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: