Provider Demographics
NPI:1871089441
Name:RAO, SHOAIB IQBAL (MD)
Entity type:Individual
Prefix:DR
First Name:SHOAIB
Middle Name:IQBAL
Last Name:RAO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2650 RIDGE AVE STE 1223
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:847-570-2040
Mailing Address - Fax:
Practice Address - Street 1:801 S. WASHINGTON ST.
Practice Address - Street 2:PEDIATRIC HOSPITALISTS
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-7430
Practice Address - Country:US
Practice Address - Phone:630-527-5197
Practice Address - Fax:630-527-5526
Is Sole Proprietor?:No
Enumeration Date:2018-07-07
Last Update Date:2025-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA196124208000000X
MI5315091550208000000X
PAMD474039208000000X
IAMD-48378208000000X
IL036172486208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics