Individual provider Active NPI

Ariq Cabbler

  • Prevention Professional
  • Chicago, IL
National Provider Identifier
1891333944
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
1418000 Issued in IL
Practice address
5642 S Prairie Ave Apt 3
Chicago, IL 60637-1575
Phone
(773) 824-6228
NPI assigned
Dec 18, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X 1418000 IL Primary

Addresses

Primary practice location

5642 S Prairie Ave Apt 3
Chicago, IL 60637-1575

Mailing address

5642 S Prairie Ave Apt 3
Chicago, IL 60637-1575
Phone (773) 824-6228

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1418000ILMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Brothers Health Collective Current Accepting new patients
Alliance Care 360 Prevention Professional Current Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1891333944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5642 S PRAIRIE AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371575",
            "telephone_number": "773-824-6228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5642 S PRAIRIE AVE APT 3",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606371575",
            "telephone_number": "773-824-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABBLER",
        "first_name": "ARIQ",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "IL",
            "license": "1418000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.