Provider Demographics
NPI:1952301293
Name:RAHMANI, AKBAR (MD)
Entity Type:Individual
Prefix:DR
First Name:AKBAR
Middle Name:
Last Name:RAHMANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27702 NETWORK PL
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60673-1277
Mailing Address - Country:US
Mailing Address - Phone:708-862-7674
Mailing Address - Fax:708-862-1781
Practice Address - Street 1:19550 GOVERNORS HWY STE 3800
Practice Address - Street 2:
Practice Address - City:FLOSSMOOR
Practice Address - State:IL
Practice Address - Zip Code:60422-2147
Practice Address - Country:US
Practice Address - Phone:708-342-3000
Practice Address - Fax:708-798-7072
Is Sole Proprietor?:No
Enumeration Date:2005-07-28
Last Update Date:2019-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036052283207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILP00760033OtherRRM
IL036052283Medicaid
IL231199007OtherMEDICARE
ILK19010Medicare PIN
ILCD0256Medicare PIN
IL036052283Medicaid
IL654334Medicare PIN
ILCH1700Medicare PIN
IL560230Medicare PIN
ILF56558Medicare PIN
IL110152230Medicare PIN
ILL73594Medicare PIN
IL110207889Medicare PIN