Healthcare Provider Details

I. General information

NPI: 1659118628
Provider Name (Legal Business Name): ARUB QURESHI OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 02/27/2025
Certification Date: 02/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8525 S HARLEM AVE
BURBANK IL
60459-2293
US

IV. Provider business mailing address

8525 S HARLEM AVE
BURBANK IL
60459-2293
US

V. Phone/Fax

Practice location:
  • Phone: 708-599-0050
  • Fax:
Mailing address:
  • Phone: 888-899-0816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number046011860
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: