Provider Demographics
NPI:1790418994
Name:RADDAWI, RANA (PHD)
Entity Type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:RADDAWI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 DURHAM CT
Mailing Address - Street 2:
Mailing Address - City:BURR RIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60527-7938
Mailing Address - Country:US
Mailing Address - Phone:630-402-8328
Mailing Address - Fax:
Practice Address - Street 1:47 DURHAM CT
Practice Address - Street 2:
Practice Address - City:BURR RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60527-7938
Practice Address - Country:US
Practice Address - Phone:630-402-8328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter