Provider Demographics
NPI:1760427850
Name:MAFEE, RANA F (MD)
Entity Type:Individual
Prefix:DR
First Name:RANA
Middle Name:F
Last Name:MAFEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:425 JOLIET ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:DYER
Mailing Address - State:IN
Mailing Address - Zip Code:46311-1765
Mailing Address - Country:US
Mailing Address - Phone:219-488-0165
Mailing Address - Fax:219-865-5401
Practice Address - Street 1:2450 WOLF RD
Practice Address - Street 2:SUITE D
Practice Address - City:WESTCHESTER
Practice Address - State:IL
Practice Address - Zip Code:60154-5643
Practice Address - Country:US
Practice Address - Phone:708-483-7007
Practice Address - Fax:708-562-0129
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2015-11-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL0361137562084N0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036.113756Medicaid
ILF400132716Medicare PIN
IL036113756Medicaid
ILF400132714Medicare PIN