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NPI Code Detail

MEDICARE: ARLINGTON MEDICAL ASSOCIATES PC

MEDICARE: ARLINGTON MEDICAL ASSOCIATES PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician036076396IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2CK2307OTHERILRAILROAD MEDICARE - GROUP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
101615768OTHERILBLUE CROSS & BLUE SHIELD

General Provider Information

NPI Number : 1316038342
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARLINGTON MEDICAL ASSOCIATES PC
Provider Business Mailing Address
First Line : 1430 N ARLINGTON HEIGHTS RD STE 105
Second Line : SUITE 105
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4823
Country : US
Telephone Number : 847-255-0800
Fax Number : 847-255-8054
Provider Business Practice Location Address
First Line : 1430 N ARLINGTON HEIGHTS RD STE 105
Second Line : SUITE 105
City : ARLINGTON HEIGHTS
State : IL
Zip : 60004-4823
Country : US
Telephone Number : 847-255-0800
Fax Number : 847-255-8054
Authorized Official
Title or Position : DIRECTOR PHYSICIAN
Name : DR. JEFFREY A LINDAHL
Credential : MD
Telephone Number : 847-255-0800
Provider Enumeration Date : 09/27/2006
Last Update Date : 03/24/2009

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Directions to “ARLINGTON MEDICAL ASSOCIATES PC ” Practice Location

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