Healthcare Provider Details

I. General information

NPI: 1275569840
Provider Name (Legal Business Name): RASHA JABRI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2006
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9830 RIDGELAND AVE STE 1B
CHICAGO RIDGE IL
60415-2668
US

IV. Provider business mailing address

9830 RIDGELAND AVE STE 1B
CHICAGO RIDGE IL
60415-2668
US

V. Phone/Fax

Practice location:
  • Phone: 708-249-7397
  • Fax: 708-258-1230
Mailing address:
  • Phone: 708-249-7397
  • Fax: 833-468-5092

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number036106628
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036106628
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: