Provider Demographics
NPI:1659573376
Name:RAUH, ALICIA LEUNG (MD)
Entity Type:Individual
Prefix:
First Name:ALICIA
Middle Name:LEUNG
Last Name:RAUH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALICIA
Other - Middle Name:
Other - Last Name:LEUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1430 N LASALLE
Mailing Address - Street 2:UNIT C1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-2069
Mailing Address - Country:US
Mailing Address - Phone:773-484-8788
Mailing Address - Fax:
Practice Address - Street 1:251 E HURON ST
Practice Address - Street 2:NORTHWESTERN MEMORIAL HOSPITAL
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-926-6742
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036116999207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine