Provider Demographics
NPI:1487751269
Name:ARBITURE, TODD (DO)
Entity type:Individual
Prefix:
First Name:TODD
Middle Name:
Last Name:ARBITURE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22231 W VERNON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:MUNDELEIN
Mailing Address - State:IL
Mailing Address - Zip Code:60060-5320
Mailing Address - Country:US
Mailing Address - Phone:847-708-7501
Mailing Address - Fax:
Practice Address - Street 1:22231 W VERNON RIDGE DR
Practice Address - Street 2:
Practice Address - City:MUNDELEIN
Practice Address - State:IL
Practice Address - Zip Code:60060-5320
Practice Address - Country:US
Practice Address - Phone:847-708-7501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI49440207P00000X
IL036-109539207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI43535000Medicaid
WI43535500Medicaid
WI011302905Medicare PIN
WII34906Medicare UPIN
WI005301473Medicare PIN
WI43535500Medicaid