MEDICARE: SOPHIA 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
1	207R00000X	Internal Medicine Physician	036142187	IL
2	208M00000X	Hospitalist Physician	036142187	IL

General Provider Information

NPI Number	:	1821228321
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOPHIA RAHMAN

Provider Business Mailing Address
First Line	:	901 W MADISON ST UNIT 708
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-3374
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 W 95TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60805-2701
Country	:	US
Telephone Number	:	708-422-6200
Fax Number	:

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

Provider Enumeration Date	:	07/17/2009
Last Update Date	:	01/04/2026

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Directions to “ SOPHIA RAHMAN ” Practice Location

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