Provider Demographics
NPI:1366657942
Name:RAYMOND NARH, MD, SC
Entity Type:Organization
Organization Name:RAYMOND NARH, MD, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:NARH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-674-4003
Mailing Address - Street 1:PO BOX 281
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60480-0281
Mailing Address - Country:US
Mailing Address - Phone:708-288-5024
Mailing Address - Fax:
Practice Address - Street 1:3303 S HALSTED ST UNIT 203
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-6877
Practice Address - Country:US
Practice Address - Phone:312-674-4003
Practice Address - Fax:312-674-4013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2021-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-106677261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILH62816Medicare UPIN