Provider Demographics
NPI:1639205016
Name:ARAIN, ADNANUL AZEEM (RSA)
Entity Type:Individual
Prefix:MR
First Name:ADNANUL
Middle Name:AZEEM
Last Name:ARAIN
Suffix:
Gender:M
Credentials:RSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22028 W LAKELAND TRL
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-6014
Mailing Address - Country:US
Mailing Address - Phone:630-440-2080
Mailing Address - Fax:815-886-6776
Practice Address - Street 1:22028 W LAKELAND TRL
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-6014
Practice Address - Country:US
Practice Address - Phone:630-440-2080
Practice Address - Fax:815-886-6776
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238.000072246ZC0007X, 246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL238.000072OtherREGISTERED SURGICAL ASST.