Individual
CARL E ARENTZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 E MASON ST, SUITE 3P25, SPRINGFIELD, IL 62701-1034
(217) 545-7600
(217) 545-2552
Mailing address
PO BOX 19684, SPRINGFIELD, IL 62794-9684
(217) 545-7600
(217) 545-2552
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036072083
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036072083
—
IL
Enumeration date
11/09/2005
Last updated
10/24/2012
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