Provider Demographics
NPI:1588935787
Name:ARKUS, EMILY A
Entity type:Individual
Prefix:MISS
First Name:EMILY
Middle Name:A
Last Name:ARKUS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2210 S GRACE ST
Mailing Address - Street 2:#308
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-5589
Mailing Address - Country:US
Mailing Address - Phone:708-334-1282
Mailing Address - Fax:
Practice Address - Street 1:2210 S GRACE ST
Practice Address - Street 2:#308
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-5589
Practice Address - Country:US
Practice Address - Phone:708-334-1282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist