MEDICARE: AMINA M. RAHIM 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
1	207R00000X	Internal Medicine Physician	036087153	IL

Other Identifiers

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

General Provider Information

NPI Number	:	1689660763
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMINA M. RAHIM M.D.

Provider Business Mailing Address
First Line	:	1931 MOHAVE CT
Second Line	:
City	:	GRAFTON
State	:	WI
Zip	:	53024-1216
Country	:	US
Telephone Number	:	847-275-6499
Fax Number	:

Provider Business Practice Location Address
First Line	:	959 W GOLF RD
Second Line	:	959-963
City	:	SCHAUMBURG
State	:	IL
Zip	:	60194-1329
Country	:	US
Telephone Number	:	847-490-6817
Fax Number	:	847-490-6819

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2005
Last Update Date	:	10/17/2024

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