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Organization
M RAHMAN, D.O., S.C.
Active
Organization
M RAHMAN, D.O., S.C.
Active
Other names
BROADWAY EYE INSTITUTE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MALEKA P RAHMAN D.O. (PRESIDENT)
(773) 409-4292
Entity
Organization
Contact information
Practice address
5457 N BROADWAY ST, CHICAGO, IL 60640-1703
(773) 409-4292
(773) 409-4298
Mailing address
5457 N BROADWAY ST, CHICAGO, IL 60640-1703
(773) 409-4292
(773) 409-4298
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036128847
IL
Other
Enumeration date
08/09/2012
Last updated
12/09/2021
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