Provider Demographics
NPI:1043309123
Name:NAZEER, RAHEEMUDDIN (MD)
Entity Type:Individual
Prefix:
First Name:RAHEEMUDDIN
Middle Name:
Last Name:NAZEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 KANEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-2578
Mailing Address - Country:US
Mailing Address - Phone:630-938-4011
Mailing Address - Fax:630-584-1400
Practice Address - Street 1:2535 SODERQUIST CT
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-0020
Practice Address - Country:US
Practice Address - Phone:630-584-1400
Practice Address - Fax:630-584-1733
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01075881A207RR0500X
IL036099061207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201324520Medicaid
IL9815737OtherBLUE CROSS
IL107972OtherHEALTH ALLIANCE MEDICAL
ILP00257045OtherMEDICARE RAILROAD #
IL107972OtherHEALTH ALLIANCE MEDICAL
IN940080031Medicare PIN
ILK47205Medicare PIN
IL9815737OtherBLUE CROSS