Healthcare Provider Details

I. General information

NPI: 1528422631
Provider Name (Legal Business Name): HASHEM BEIK MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MHD HASHEM RAJABBIK MD

II. Dates (important events)

Enumeration Date: 04/06/2016
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 E 1ST ST
DIXON IL
61021-3116
US

IV. Provider business mailing address

1326 S MICHIGAN AVE APT 4313
CHICAGO IL
60605-3531
US

V. Phone/Fax

Practice location:
  • Phone: 815-285-5629
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number72532-20
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA175033
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.149561
License Number StateIL
# 4
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number036149561
License Number StateIL
# 5
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA175033
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number72532-20
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: