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NPI Code Detail

MEDICARE: RABY INSTITUTE FOR INTEGRATIVE MEDICINE AT NORTHWESTERN LLC

MEDICARE: RABY INSTITUTE FOR INTEGRATIVE MEDICINE AT NORTHWESTERN LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist036091084IL
2261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1023260825
Entity Type Code : Organization
Provider Name (Legal Business Name) : RABY INSTITUTE FOR INTEGRATIVE MEDICINE AT NORTHWESTERN LLC
Provider Business Mailing Address
First Line : PO BOX 11033
Second Line :
City : CHICAGO
State : IL
Zip : 60611
Country : US
Telephone Number : 312-276-1212
Fax Number : 312-276-1213
Provider Business Practice Location Address
First Line : 150 N MICHIGAN AVE STE 1400
Second Line :
City : CHICAGO
State : IL
Zip : 60601-7568
Country : US
Telephone Number : 312-276-1212
Fax Number : 312-276-1213
Authorized Official
Title or Position : PHYSICIAN, OWNER
Name : MR. THERI RABY
Credential : MD
Telephone Number : 312-276-1212
Provider Enumeration Date : 10/13/2008
Last Update Date : 03/06/2026

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Directions to “RABY INSTITUTE FOR INTEGRATIVE MEDICINE AT NORTHWESTERN LLC ” Practice Location

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