Healthcare Provider Details

I. General information

NPI: 1861301392
Provider Name (Legal Business Name): KARAM REHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3722 HARLEM AVE
RIVERSIDE IL
60546-2312
US

IV. Provider business mailing address

7009 100TH ST APT 201
CHICAGO RIDGE IL
60415-1284
US

V. Phone/Fax

Practice location:
  • Phone: 708-783-6566
  • Fax: 708-783-6567
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: