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Individual
JOHN M ARNOLD
Active
Individual
JOHN M ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036062336
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014509
HEALTH ALLIANCE
IL
05
—
036062336
—
IL
01
—
5515957
BLUE CROSS/ BLUE SHIELD
IL
Enumeration date
06/21/2005
Last updated
02/13/2015
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