Provider Demographics
NPI:1831538289
Name:JABBAR, AHMAD SUBHI (MD)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:SUBHI
Last Name:JABBAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1051 W RAND RD STE 210
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-2315
Mailing Address - Country:US
Mailing Address - Phone:847-725-8401
Mailing Address - Fax:847-618-9506
Practice Address - Street 1:1051 W RAND RD STE 210
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-2315
Practice Address - Country:US
Practice Address - Phone:847-725-8401
Practice Address - Fax:847-618-9506
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036142836207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036142836OtherSTATE LICENSE