Healthcare Provider Details

I. General information

NPI: 1619604113
Provider Name (Legal Business Name): AREEJ RAHMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 E SIBLEY BLVD
DOLTON IL
60419-2599
US

IV. Provider business mailing address

600 E SIBLEY BLVD
DOLTON IL
60419-2599
US

V. Phone/Fax

Practice location:
  • Phone: 708-340-7400
  • Fax: 780-340-7140
Mailing address:
  • Phone: 708-340-7400
  • Fax: 780-340-7140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number036.175227
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: