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Individual

MARK WELDON ARNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3 ERIE CT, OAK PARK, IL 60302-2519
(707) 783-3532
(708) 782-3164
Mailing address
3249 SOUTH OAK PARK AVE., BERWYN, IL 60402
(707) 783-3532
(708) 782-3164

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-092976
IL
2085R0202X
Diagnostic Radiology Physician
12259
NV
2085R0202X
Diagnostic Radiology Physician
25.000023
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0360929761
IL
01
300109946
RR MEDICARE
Enumeration date
05/24/2006
Last updated
10/28/2024
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