Healthcare Provider Details

I. General information

NPI: 1447888276
Provider Name (Legal Business Name): ARI HAKIMIAN DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2020
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 LUTHER LN STE 2200
PARK RIDGE IL
60068-1270
US

IV. Provider business mailing address

8915 W GOLF RD
NILES IL
60714-5905
US

V. Phone/Fax

Practice location:
  • Phone: 847-268-8200
  • Fax: 847-318-2905
Mailing address:
  • Phone: 847-827-9060
  • Fax: 847-827-7196

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number036.161721
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number125.076885
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: