Provider Demographics
NPI:1639535032
Name:RAEI, ARASH (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ARASH
Middle Name:
Last Name:RAEI
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8950 GROSS POINT RD STE 600
Mailing Address - Street 2:
Mailing Address - City:SKOKIE
Mailing Address - State:IL
Mailing Address - Zip Code:60077-1860
Mailing Address - Country:US
Mailing Address - Phone:847-965-1600
Mailing Address - Fax:847-965-1611
Practice Address - Street 1:8950 GROSS POINT RD STE 600
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-1860
Practice Address - Country:US
Practice Address - Phone:847-965-1600
Practice Address - Fax:847-965-1611
Is Sole Proprietor?:No
Enumeration Date:2016-01-14
Last Update Date:2016-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051.297821183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist