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NPI Code Detail

MEDICARE: NORA ABDELRAHMAN

MEDICARE: NORA ABDELRAHMAN
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
1101YM0800XMental Health Counselor178.018130IL

General Provider Information

NPI Number : 1295442655
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORA ABDELRAHMAN
Provider Business Mailing Address
First Line : 10528 RIDGE COVE DR APT 13A
Second Line :
City : CHICAGO RIDGE
State : IL
Zip : 60415-1476
Country : US
Telephone Number : 708-253-5360
Fax Number :
Provider Business Practice Location Address
First Line : 480 N MCCLURG CT APT 513
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5337
Country : US
Telephone Number : 312-955-0319
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2022
Last Update Date : 11/03/2022

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Directions to “ NORA ABDELRAHMAN ” Practice Location

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