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General NPI Number Information
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NPI Number | 1457373730
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Entity Type | Individual
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Provider Name | ATIQ UR REHMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 01/17/2022
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Provider Practice Location Address
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Address Line | 1802 N DIVISION ST STE 605
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City | MORRIS
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State | IL
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Zip | 60450-3133
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Country | US
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Telephone | 815-416-1224
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Fax | 815-416-1220
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Provider Business Mailing Address
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Address Line | 907 N ELM ST STE 101
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City | HINSDALE
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State | IL
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Zip | 60521-3644
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Country | US
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Telephone | 708-482-4500
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Fax | 708-482-4502
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036-116431
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 036-116431
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 036116431
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License Number State | IL
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