Provider Demographics
NPI:1619779311
Name:CARROLL, SARINE (DO)
Entity type:Individual
Prefix:
First Name:SARINE
Middle Name:
Last Name:CARROLL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:SARINE
Other - Middle Name:
Other - Last Name:ARSLANIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:210 N WELLS ST APT 2107
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-1341
Mailing Address - Country:US
Mailing Address - Phone:248-520-5286
Mailing Address - Fax:
Practice Address - Street 1:2160 S 1ST AVE STE 1940
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-6200
Practice Address - Fax:708-216-6840
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-25
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program