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NPI Code Detail

MEDICARE: RIDHA CHAKEER M.D.

MEDICARE:   RIDHA  CHAKEER  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036126750IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013164391
Entity Type Code : Individual
Provider Name (Legal Business Name) : RIDHA CHAKEER M.D.
Provider Business Mailing Address
First Line : 9051 WILLOW RIDGE DR
Second Line :
City : WILLOW SPRINGS
State : IL
Zip : 60480-1185
Country : US
Telephone Number : 630-445-1022
Fax Number : 630-559-7377
Provider Business Practice Location Address
First Line : 3825 HIGHLAND AVE STE 2B
Second Line :
City : DOWNERS GROVE
State : IL
Zip : 60515-1548
Country : US
Telephone Number : 630-445-1022
Fax Number : 630-559-7377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2008
Last Update Date : 07/16/2021

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Directions to “ RIDHA CHAKEER M.D.” Practice Location

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