Healthcare Provider Details

I. General information

NPI: 1518734888
Provider Name (Legal Business Name): AREEBA ASIM PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/07/2023
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1964 SPRINGBROOK SQUARE DR STE 108B
NAPERVILLE IL
60564-5949
US

IV. Provider business mailing address

PO BOX 713260
CHICAGO IL
60677-1260
US

V. Phone/Fax

Practice location:
  • Phone: 630-348-3840
  • Fax: 630-848-9342
Mailing address:
  • Phone: 630-469-9200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number085-010276
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: