MEDICARE: R & W MEDICAL 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
1	207Q00000X	Family Medicine Physician	036109110	IL
2	207R00000X	Internal Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	036107581	OTHER	IL	PPO/HMO
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538179841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	R & W MEDICAL LLC

Provider Business Mailing Address
First Line	:	3017 N ASHLAND AVE APT 1N
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3143
Country	:	US
Telephone Number	:	773-935-1199
Fax Number	:	773-935-1219

Provider Business Practice Location Address
First Line	:	3017 N ASHLAND AVE APT 1N
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60657-3143
Country	:	US
Telephone Number	:	773-935-1199
Fax Number	:	773-935-1219

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. SYED AKHTER
Credential	:	M.D.
Telephone Number	:	773-935-1199

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	02/02/2022

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Directions to “R & W MEDICAL LLC ” Practice Location

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