Provider Demographics
NPI:1275661514
Name:BAIG, RASHEED MIRZA
Entity Type:Individual
Prefix:
First Name:RASHEED
Middle Name:MIRZA
Last Name:BAIG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18808 W COTTAGE AVE
Mailing Address - Street 2:
Mailing Address - City:LAKE VILLA
Mailing Address - State:IL
Mailing Address - Zip Code:60046-9017
Mailing Address - Country:US
Mailing Address - Phone:847-274-8469
Mailing Address - Fax:847-223-4086
Practice Address - Street 1:18808 W COTTAGE AVE
Practice Address - Street 2:
Practice Address - City:LAKE VILLA
Practice Address - State:IL
Practice Address - Zip Code:60046-9017
Practice Address - Country:US
Practice Address - Phone:847-274-8469
Practice Address - Fax:847-223-4086
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist