Healthcare Provider Details

I. General information

NPI: 1013164391
Provider Name (Legal Business Name): RIDHA CHAKEER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2340 S HIGHLAND AVE STE 370
LOMBARD IL
60148-5397
US

IV. Provider business mailing address

2340 S HIGHLAND AVE STE 370
LOMBARD IL
60148-5397
US

V. Phone/Fax

Practice location:
  • Phone: 630-445-1022
  • Fax: 630-559-7377
Mailing address:
  • Phone: 630-445-1022
  • Fax: 630-559-7377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number036126750
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: