MEDICARE: RAMI K TAHA 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	207RI0200X	Infectious Disease Physician	55209	WI
2	207RI0200X	Infectious Disease Physician	036-115915	IL

General Provider Information

NPI Number	:	1881872588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAMI K TAHA M.D.

Provider Business Mailing Address
First Line	:	1870 W WINCHESTER RD STE 247
Second Line	:
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-5360
Country	:	US
Telephone Number	:	847-672-4940
Fax Number	:	847-855-5277

Provider Business Practice Location Address
First Line	:	1870 W WINCHESTER RD STE 247
Second Line	:
City	:	LIBERTYVILLE
State	:	IL
Zip	:	60048-5360
Country	:	US
Telephone Number	:	847-672-4940
Fax Number	:	847-855-5277

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

Provider Enumeration Date	:	02/05/2008
Last Update Date	:	03/11/2026

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Directions to “ RAMI K TAHA M.D.” Practice Location

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