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NPI Code Detail

MEDICARE: SHAIMAA RAHEEM

MEDICARE: SHAIMAA RAHEEM
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
1235Z00000XSpeech-Language Pathologist242004746IL

General Provider Information

NPI Number : 1154895852
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAIMAA RAHEEM
Provider Business Mailing Address
First Line : 1411 S SMITH RD
Second Line :
City : URBANA
State : IL
Zip : 61802-4751
Country : US
Telephone Number : 202-560-4182
Fax Number :
Provider Business Practice Location Address
First Line : 232 GIVEN DR
Second Line :
City : FLORA
State : IL
Zip : 62839-1094
Country : US
Telephone Number : 618-662-8381
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2019
Last Update Date : 01/15/2019

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Directions to “ SHAIMAA RAHEEM ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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