Dwarakanathan, Arcot

Dwarakanathan, Arcot is an sole proprietor health care provider with primary practice located at 20201 Crawford Ave , Olympia Fields IL 60461-1010. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Dwarakanathan, Arcot can be contacted via phone (708) 679-2130.

Contact Information

Primary practice address
20201 Crawford Ave Olympia Fields IL 60461-1010
Phone: (708) 679-2130
Fax: (708) 679-2260
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-046124 Illinois
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036-046124 Illinois

Profile Details

NPI number 1508880287
LBN Legal business name Dwarakanathan, Arcot
Credentials M.D.,F.A.C.E.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 27th, 2006
Last updated Feb 24th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508880287 NPPES
Illinois MEDICAID 036046124
Illinois Other 1619159
Illinois Other 460000530
Illinois Other IL5686019

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