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General NPI Number Information
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NPI Number | 1508959727
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Entity Type | Individual
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Provider Name | G HOSSEIN M RIAHI MD
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Gender | Male
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 4309 MEDICAL CENTER DR SUITE B205
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City | MCHENRY
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State | IL
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Zip | 60050
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Country | US
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Telephone | 814-385-1950
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Fax | 815-385-1073
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Provider Business Mailing Address
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Address Line | 4309 MEDICAL CENTER DR SUITE B205
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City | MCHENRY
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State | IL
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Zip | 60050
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Country | US
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Telephone | 814-385-1950
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Fax | 815-385-1073
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 36048442
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0127X
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Taxonomy Name | Trauma Surgery Physician
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License Number | 36048442
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 36048442
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 36048442
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License Number State | IL
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