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NPI Code Detail

MEDICARE: RANYA NASER

MEDICARE: RANYA NASER
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1982403515
Entity Type Code : Individual
Provider Name (Legal Business Name) : RANYA NASER
Provider Business Mailing Address
First Line : 6112 W LAWRENCE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-2940
Country : US
Telephone Number : 773-600-0686
Fax Number :
Provider Business Practice Location Address
First Line : 1740 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60612-7232
Country : US
Telephone Number : 309-671-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2025
Last Update Date : 04/10/2026

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Directions to “ RANYA NASER ” Practice Location

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