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NPI Code Detail

MEDICARE: NESREEN RAHMAN

MEDICARE:   NESREEN  RAHMAN
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
1363A00000XPhysician Assistant085011268IL

General Provider Information

NPI Number : 1518854710
Entity Type Code : Individual
Provider Name (Legal Business Name) : NESREEN RAHMAN
Provider Business Mailing Address
First Line : 14101 PERSIMMON DR
Second Line :
City : ORLAND PARK
State : IL
Zip : 60467-8614
Country : US
Telephone Number : 773-474-4296
Fax Number :
Provider Business Practice Location Address
First Line : 380 W NORTH ST
Second Line :
City : MANHATTAN
State : IL
Zip : 60442-9839
Country : US
Telephone Number : 815-802-0077
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2025
Last Update Date : 12/09/2025

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Directions to “ NESREEN RAHMAN ” Practice Location

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