Healthcare Provider Details

I. General information

NPI: 1336211457
Provider Name (Legal Business Name): ABRAR ARSHAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

565 LAKEVIEW PKWY SUITE 192
VERNON HILLS IL
60061-1838
US

IV. Provider business mailing address

565 LAKEVIEW PKWY SUITE 192
VERNON HILLS IL
60061-1838
US

V. Phone/Fax

Practice location:
  • Phone: 847-549-1111
  • Fax: 847-549-1121
Mailing address:
  • Phone: 847-549-1111
  • Fax: 847-549-1121

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0008X
TaxonomyPediatric Neurodevelopmental Disabilities Physician
License Number036091755
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: