Provider Demographics
NPI:1295038818
Name:RAAD N RASHAN M D S C
Entity Type:Organization
Organization Name:RAAD N RASHAN M D S C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAAD
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-823-1860
Mailing Address - Street 1:4922A S CORNELL AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-3084
Mailing Address - Country:US
Mailing Address - Phone:773-823-1860
Mailing Address - Fax:
Practice Address - Street 1:3743 W CHICAGO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60624
Practice Address - Country:US
Practice Address - Phone:773-823-1860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-21
Last Update Date:2010-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036097425207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty