Samuels, Arnold C.

Samuels, Arnold C. is an sole proprietor health care provider with primary practice located at 636 Church St Suite 418, Evanston IL 60201-4508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Samuels, Arnold C. can be contacted via phone (847) 475-0665.

Contact Information

Primary practice address
636 Church St Suite 418 Evanston IL 60201-4508
Phone: (847) 475-0665
Fax: (847) 475-0665
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X Illinois

Profile Details

NPI number 1427274539
LBN Legal business name Samuels, Arnold C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Oct 1st, 2007 - about 19 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 1427274539 NPPES
Illinois Other 0021604076 BLUE SHIELD PROVIDER #

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