Provider Demographics
NPI:1992090526
Name:PILMONAS, ARNOLD VICTOR
Entity type:Individual
Prefix:MR
First Name:ARNOLD
Middle Name:VICTOR
Last Name:PILMONAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:336 W MAPLE ST
Mailing Address - Street 2:UNIT # 4
Mailing Address - City:NEW LENOX
Mailing Address - State:IL
Mailing Address - Zip Code:60451-2907
Mailing Address - Country:US
Mailing Address - Phone:815-463-1234
Mailing Address - Fax:815-463-8420
Practice Address - Street 1:336 W MAPLE ST
Practice Address - Street 2:UNIT # 4
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-2907
Practice Address - Country:US
Practice Address - Phone:815-463-1234
Practice Address - Fax:815-463-8420
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-11
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL12026101YA0400X
IL180.007127101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)