Healthcare Provider Details

I. General information

NPI: 1053051888
Provider Name (Legal Business Name): AQSA ABRAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2022
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S RANDALL RD
ALGONQUIN IL
60102-5935
US

IV. Provider business mailing address

600 S RANDALL RD
ALGONQUIN IL
60102-5935
US

V. Phone/Fax

Practice location:
  • Phone: 224-783-4365
  • Fax:
Mailing address:
  • Phone: 224-783-4302
  • Fax: 224-783-4356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036175413
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: