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General NPI Number Information
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NPI Number | 1306446836
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Entity Type | Individual
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Provider Name | AMIR WAEL RAAD DNP, PMHNP-BC, RN
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Gender | Male
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 5207 MAIN ST
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-4652
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Country | US
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Telephone | 815-942-6323
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Fax | 779-210-5541
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Provider Business Mailing Address
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Address Line | PO BOX 713260
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City | CHICAGO
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State | IL
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Zip | 60677-1260
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Country | US
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Telephone | 630-469-9200
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN67253
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 277.002856
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041499940
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | CNP231232
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License Number State | ME
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0043023
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License Number State | OH
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