Provider Demographics
NPI:1609392836
Name:REHMAN, SHAFIQ UR (MD, MPH & C-SA)
Entity Type:Individual
Prefix:DR
First Name:SHAFIQ
Middle Name:UR
Last Name:REHMAN
Suffix:
Gender:M
Credentials:MD, MPH & C-SA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 S FINLEY RD UNIT 1012
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4831
Mailing Address - Country:US
Mailing Address - Phone:312-714-5212
Mailing Address - Fax:
Practice Address - Street 1:2005 SOUTH FINLEY RD UNIT 1012
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148
Practice Address - Country:US
Practice Address - Phone:312-714-5212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238.000216246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant