Provider Demographics
NPI:1780687368
Name:BEGUM AKHTAR, ROKEYA (MD)
Entity Type:Individual
Prefix:
First Name:ROKEYA
Middle Name:
Last Name:BEGUM AKHTAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ROKEYA
Other - Middle Name:
Other - Last Name:AKHTAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7447 W TALCOTT AVE STE 245
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-3713
Mailing Address - Country:US
Mailing Address - Phone:773-774-7474
Mailing Address - Fax:
Practice Address - Street 1:7447 W TALCOTT AVE STE 245
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-3713
Practice Address - Country:US
Practice Address - Phone:773-774-7474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-05-27
Last Update Date:2020-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036085985207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036085985Medicaid
IL389770Medicare ID - Type Unspecified
IL036085985Medicaid