Healthcare Provider Details

I. General information

NPI: 1871085001
Provider Name (Legal Business Name): ARSALAN KABIR DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

329 REMINGTON BLVD STE 200
BOLINGBROOK IL
60440-5817
US

IV. Provider business mailing address

3503 TIMBER CREEK LN
NAPERVILLE IL
60565-3572
US

V. Phone/Fax

Practice location:
  • Phone: 630-759-4800
  • Fax:
Mailing address:
  • Phone: 630-631-1709
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number02006230A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number036.155374
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number036155374
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number02006230A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: