Provider Demographics
NPI:1174295596
Name:ARROYO, ARLENE (RN)
Entity type:Individual
Prefix:MRS
First Name:ARLENE
Middle Name:
Last Name:ARROYO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 N LA GRANGE RD
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60526-5695
Mailing Address - Country:US
Mailing Address - Phone:708-790-7503
Mailing Address - Fax:708-482-6709
Practice Address - Street 1:315 N LA GRANGE RD
Practice Address - Street 2:
Practice Address - City:LA GRANGE PARK
Practice Address - State:IL
Practice Address - Zip Code:60526-5695
Practice Address - Country:US
Practice Address - Phone:708-790-7503
Practice Address - Fax:708-482-6709
Is Sole Proprietor?:No
Enumeration Date:2021-10-04
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.292751163WG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0600XNursing Service ProvidersRegistered NurseGerontology