Healthcare Provider Details

I. General information

NPI: 1720996002
Provider Name (Legal Business Name): ZAINAB RAUF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 E GRANT ST APT 55
MARSHFIELD WI
54449-2377
US

IV. Provider business mailing address

1007 E GRANT ST APT 55
MARSHFIELD WI
54449-2377
US

V. Phone/Fax

Practice location:
  • Phone: 630-360-7773
  • Fax:
Mailing address:
  • Phone: 630-360-7773
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number102024-851
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: