Provider Demographics
NPI:1134856321
Name:DHAHER, RASHA
Entity type:Individual
Prefix:DR
First Name:RASHA
Middle Name:
Last Name:DHAHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2254 BLACKSMITH DR
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-8974
Mailing Address - Country:US
Mailing Address - Phone:630-492-7262
Mailing Address - Fax:
Practice Address - Street 1:2254 BLACKSMITH DR
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-8974
Practice Address - Country:US
Practice Address - Phone:630-492-7262
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-06
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL046011667152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist