Individual
DR. ARNOLD C. SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
636 CHURCH ST, SUITE 418, EVANSTON, IL 60201-4508
(847) 475-0665
(847) 475-0665
Mailing address
636 CHURCH ST, SUITE 418, EVANSTON, IL 60201-4508
(847) 475-0665
(847) 475-0665
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
2084P0804X
Child & Adolescent Psychiatry Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021604076
BLUE SHIELD PROVIDER #
IL
Enumeration date
04/17/2007
Last updated
10/01/2007
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