Provider Demographics
NPI:1255669297
Name:AMER, RANA DABAH (PA-C)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:DABAH
Last Name:AMER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 S ROSELLE RD
Mailing Address - Street 2:STE 104
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60193-2971
Mailing Address - Country:US
Mailing Address - Phone:847-352-5511
Mailing Address - Fax:847-352-5585
Practice Address - Street 1:455 S ROSELLE RD
Practice Address - Street 2:STE 104
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60193-2971
Practice Address - Country:US
Practice Address - Phone:847-352-5511
Practice Address - Fax:847-352-5585
Is Sole Proprietor?:No
Enumeration Date:2009-12-03
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL085003606363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical