Active NPI
Ibrahim O Arowolo
- Physical Therapist
- Bolingbrook, IL
National Provider Identifier
1497702732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070009203
- Practice address
- 879 Brompton Cir
Bolingbrook, IL 60440-1493 - Phone
- (708) 642-2128
- Fax
- (630) 759-5458
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070009203 | IL | Primary |
Addresses
Primary practice location
879 Brompton Cir
Bolingbrook, IL 60440-1493
Mailing address
235 Remington Blvd
Ste I
Bolingbrook, IL 60440-3687
Phone (630) 312-8022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070009203 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463356800000",
"number": "1497702732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235 REMINGTON BLVD",
"address_2": "STE I",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604403687",
"telephone_number": "630-312-8022",
"fax_number": "630-312-8660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "879 BROMPTON CIR",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604401493",
"telephone_number": "708-642-2128",
"fax_number": "630-759-5458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AROWOLO",
"first_name": "IBRAHIM",
"middle_name": "O",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-30",
"last_updated": "2016-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070009203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bolingbrook, IL
- Mohammed Murtaza Arain, M.D.
- Arca Homecare Services, Inc.
- Arca Private Homecare, Inc.
- David-Jamahl Ardison, PT
- Audrey Nelson Arowolo, OTR
- Gerry J Arroyo, FNP
- Ascendify Physical Therapy, LLC
- Athletic & Therapeutic Institute of Naperville, LLC
- Athletic and Therapeutic Institute of Bourbonnais, LLC
- Athletic and Therapeutic Institute of Naperville, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.