Provider Demographics
NPI:1033298591
Name:ABU-SHANAB, RASHID A (DC)
Entity Type:Individual
Prefix:DR
First Name:RASHID
Middle Name:A
Last Name:ABU-SHANAB
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7124 W 83RD ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:BRIDGEVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60455-4024
Mailing Address - Country:US
Mailing Address - Phone:708-599-9250
Mailing Address - Fax:708-599-9470
Practice Address - Street 1:7124 W 83RD ST
Practice Address - Street 2:SUITE B
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-4024
Practice Address - Country:US
Practice Address - Phone:708-599-9250
Practice Address - Fax:708-599-9470
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038008510111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor