Healthcare Provider Details

I. General information

NPI: 1245287218
Provider Name (Legal Business Name): ANWER RASHEED M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 08/19/2024
Certification Date: 08/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 N HARLEM AVE
FREEPORT IL
61032-3801
US

IV. Provider business mailing address

421 W EXCHANGE ST
FREEPORT IL
61032-4008
US

V. Phone/Fax

Practice location:
  • Phone: 815-599-6000
  • Fax: 815-599-7769
Mailing address:
  • Phone: 815-599-7140
  • Fax: 815-599-7769

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number36369
License Number StateIA
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number036168590
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: