MEDICARE: RASHA JABRI MD

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
1	207LP2900X	Pain Medicine (Anesthesiology) Physician	036106628	IL
2	207L00000X	Anesthesiology Physician	036106628	IL
3	207LH0002X	Hospice and Palliative Medicine (Anesthesiology) Physician	036106628	IL

General Provider Information

NPI Number	:	1275569840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RASHA JABRI MD

Provider Business Mailing Address
First Line	:	680 N LAKE SHORE DR STE 1000
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-8709
Country	:	US
Telephone Number	:	312-695-9797
Fax Number	:

Provider Business Practice Location Address
First Line	:	680 N LAKE SHORE DR
Second Line	:	SUITE 1000
City	:	CHICAGO
State	:	IL
Zip	:	60611-4546
Country	:	US
Telephone Number	:	312-695-9797
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2006
Last Update Date	:	07/02/2026

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