Individual
JOHN M ARNOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1150 N COLE ST, BUSHNELL, IL 61422-9503
(309) 772-9444
Mailing address
1150 N COLE ST, BUSHNELL, IL 61422-9503
(309) 772-9444
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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