# M RAHMAN, D.O., S.C.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** BROADWAY EYE INSTITUTE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447507363
- **Authorized official:** DR. MALEKA P RAHMAN D.O. (PRESIDENT)
- **Authorized official phone:** (773) 409-4292

## Contact information

- **Practice address:** 5457 N BROADWAY ST, CHICAGO, IL 60640-1703
- **Practice address phone:** (773) 409-4292
- **Practice address fax:** (773) 409-4298
- **Mailing address:** 5457 N BROADWAY ST, CHICAGO, IL 60640-1703
- **Mailing address phone:** (773) 409-4292
- **Mailing address fax:** (773) 409-4298

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036128847 | IL | Yes |

## Other

- **Enumeration date:** 08/09/2012
- **Last updated:** 12/09/2021
