Individual
ARNOLD M HERSKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
680 N LAKE SHORE DR, 418, CHICAGO, IL 60611-4546
(312) 654-0051
(312) 942-2894
Mailing address
680 N LAKE SHORE DR, 418, CHICAGO, IL 60611-4546
(312) 654-0051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036097303
IL
2085R0001X
Radiation Oncology Physician
Primary
036-097303
IL
2085R0001X
Radiation Oncology Physician
036097303
IL
2085R0001X
Radiation Oncology Physician
5146-320
WI
2085R0203X
Therapeutic Radiology Physician
EMC0006393
MI
208D00000X
General Practice Physician
036097303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-097303
—
IL
Enumeration date
07/15/2006
Last updated
04/07/2025
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