MEDICARE: RAINAH HANIF

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	1223G0001X	General Practice Dentistry	019.036118	IL

General Provider Information

NPI Number	:	1619850724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAINAH HANIF

Provider Business Mailing Address
First Line	:	4105 N PHEASANT TRAIL CT UNIT 2
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-7990
Country	:	US
Telephone Number	:	630-600-7622
Fax Number	:

Provider Business Practice Location Address
First Line	:	4105 N PHEASANT TRAIL CT UNIT 2
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60004-7990
Country	:	US
Telephone Number	:	630-600-7622
Fax Number	:

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

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	07/28/2025

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