# RAFATI FOOT AND ANKLE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457862609
- **Authorized official:** MURAD ABDEL-QADER (OWNER)
- **Authorized official phone:** (219) 688-6292

## Contact information

- **Practice address:** 3330 W 177TH ST STE 3A, HAZEL CREST, IL 60429-2193
- **Practice address phone:** (219) 688-6292
- **Mailing address:** 9340 LOCHWOOD PL, TINLEY PARK, IL 60487-4797

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | 016005230 | IL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | Yes |

## Other

- **Enumeration date:** 10/16/2017
- **Last updated:** 10/16/2017
