Basic Information
| Provider Information | |||||||||
| NPI: | 1831378330 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | ARORA | ||||||||
| FirstName: | AMIT | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 120 W 22ND ST | ||||||||
| Address2: | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS | ||||||||
| City: | OAK BROOK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 605231557 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6309745240 | ||||||||
| FaxNumber: | 6309745274 | ||||||||
| Practice Location | |||||||||
| Address1: | 390 E CONGRESS PKWY STE C | ||||||||
| Address2: | NEPHROLOGY ASSOCIATES OF NORTHERN ILLINOIS | ||||||||
| City: | CRYSTAL LAKE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 600146202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8153011001 | ||||||||
| FaxNumber: | 8153011002 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2007 | ||||||||
| LastUpdateDate: | 12/15/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | 036124063 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
ID Information
| ID | Type | State | Issuer | Description | 036124063 | 05 | IL | MEDICAID |