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General NPI Number Information
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NPI Number | 1033263371
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Entity Type | Organization
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Legal Business Name | ADEEBUR RAHMAN MD SC
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Dates
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Enumeration Date | 01/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9133 S STONY ISLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60617-3512
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Country | US
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Telephone | 773-375-3911
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Fax | 847-375-2334
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Provider Business Mailing Address
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Address Line | 9133 S STONY ISLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60617-3512
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Country | US
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Telephone | 773-375-3911
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Fax | 847-375-2334
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ADEEBUR RAHMAN
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Credential | M.D.
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Telephone | 773-375-3911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | IL
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