Healthcare Provider Details

I. General information

NPI: 1568846608
Provider Name (Legal Business Name): RASIYA HASHIM MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2015
Last Update Date: 08/29/2025
Certification Date: 08/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2233 W DIVISION ST
CHICAGO IL
60622-8151
US

IV. Provider business mailing address

2900 N LAKE SHORE DR STE 204
CHICAGO IL
60657-5640
US

V. Phone/Fax

Practice location:
  • Phone: 312-770-2000
  • Fax: 312-770-3275
Mailing address:
  • Phone: 773-665-3022
  • Fax: 773-665-3384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036143921
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: