Healthcare Provider Details

I. General information

NPI: 1619779311
Provider Name (Legal Business Name): SARINE CARROLL DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SARINE ARSLANIAN DO

II. Dates (important events)

Enumeration Date: 03/25/2025
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 S 1ST AVE STE 1940
MAYWOOD IL
60153-3328
US

IV. Provider business mailing address

210 N WELLS ST APT 2107
CHICAGO IL
60606-1341
US

V. Phone/Fax

Practice location:
  • Phone: 708-216-6200
  • Fax: 708-216-6840
Mailing address:
  • Phone: 248-520-5286
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number125.087034
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: