Individual
TASBIRUL ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 W HIGHWAY 22, BARRINGTON, IL 60010-1919
(708) 283-5500
Mailing address
10400 HALIGUS RD, HUNTLEY, IL 60142-9553
(224) 654-0210
(224) 654-0215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
50271
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01071307A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036163148
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
50271
WI
207RP1001X
Pulmonary Disease Physician
01071307A
IN
207RP1001X
Pulmonary Disease Physician
50271
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000773728
ANTHEM PIN NUMBER
IN
05
—
201074340
—
IN
05
—
35198100
—
WI
Enumeration date
05/14/2008
Last updated
04/01/2025
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