Provider Demographics
NPI:1134493315
Name:ARAIN, AZIZUR RAHMAN (MD)
Entity Type:Individual
Prefix:
First Name:AZIZUR
Middle Name:RAHMAN
Last Name:ARAIN
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 1:116 INDIAN TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2779
Mailing Address - Country:US
Mailing Address - Phone:630-654-8745
Mailing Address - Fax:630-654-8745
Practice Address - Street 1:116 INDIAN TRAIL RD
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2779
Practice Address - Country:US
Practice Address - Phone:630-654-8745
Practice Address - Fax:630-654-8745
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-06
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-045141207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine