Healthcare Provider Details

I. General information

NPI: 1134083504
Provider Name (Legal Business Name): DAREEN ABU-HASHISH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1S210 SUMMIT AVE
OAKBROOK TERRACE IL
60181-3933
US

IV. Provider business mailing address

1S210 SUMMIT AVE
OAKBROOK TERRACE IL
60181-3933
US

V. Phone/Fax

Practice location:
  • Phone: 301-852-4579
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: