Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arielle Douglas, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1093216855

Arielle Douglas, PHYSICIANASSISTANT is a Physician Assistant in Chicago, Illinois. Works from 2 locations. Licensed in Illinois and Texas.

Licensed in
IL, TX
In the registry since
2018
Specialties on file
2

Practice location Address checks out

2800 S California Ave
Chicago, IL 60608-5107
Phone: (773) 764-7488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1406 N North Park Ave Unit 2, Chicago, IL 60610-1227 — (713) 398-4191

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.006499 (IL)
Physician Assistant Taxonomy 363A00000X · Licence PA11748 (TX)

Record details

NPI number1093216855
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 26, 2018
Last updated in NPPESApril 23, 2021
Certification dateApril 23, 2021

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