MEDICARE: RAKESH MARWAHA M.D. S.C.

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
1	207R00000X	Internal Medicine Physician		IL

General Provider Information

NPI Number	:	1073695284
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAKESH MARWAHA M.D. S.C.

Provider Business Mailing Address
First Line	:	PO BOX 6010
Second Line	:
City	:	WOODRIDGE
State	:	IL
Zip	:	60517-7010
Country	:	US
Telephone Number	:	630-527-6390
Fax Number	:	630-527-6392

Provider Business Practice Location Address
First Line	:	1190 S NAPER BLVD
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-8331
Country	:	US
Telephone Number	:	630-527-6390
Fax Number	:	630-527-6392

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	SANDRA LOVITT
Credential	:
Telephone Number	:	630-527-6390

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/21/2022

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