Provider Demographics
NPI:1770686305
Name:TOMUR, RASHMI C (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHMI
Middle Name:C
Last Name:TOMUR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2121 RIDGE AVE STE 103
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-7002
Mailing Address - Country:US
Mailing Address - Phone:630-375-0101
Mailing Address - Fax:
Practice Address - Street 1:2121 RIDGE AVE STE 103
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-7002
Practice Address - Country:US
Practice Address - Phone:630-375-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-07
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036090195174400000X, 207V00000X
IL036-090195174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-090195Medicaid
ILG07495Medicare UPIN
IL036-090195Medicaid