Provider Demographics
NPI:1447313655
Name:SKLADMAN, ARTHUR N (MD)
Entity type:Individual
Prefix:DR
First Name:ARTHUR
Middle Name:N
Last Name:SKLADMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5999 NEW WILKE RD BLDG 2
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-4506
Mailing Address - Country:US
Mailing Address - Phone:847-618-0800
Mailing Address - Fax:847-228-1062
Practice Address - Street 1:415 W GOLF RD
Practice Address - Street 2:STE2
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-3929
Practice Address - Country:US
Practice Address - Phone:847-228-0855
Practice Address - Fax:847-228-0858
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036070156207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036070156OtherSTATE LICENSE
IL036070156Medicaid
IL1811204274Medicare PIN