Individual
MR. ROUEEN RAFEYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 S MICHIGAN AVE, B-390, CHICAGO, IL 60616-2333
(312) 567-6691
(312) 328-7895
Mailing address
2525 S MICHIGAN AVE, B-390, CHICAGO, IL 60616-2333
(312) 567-6691
(312) 328-7895
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
036089152
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036089152
—
IL
Enumeration date
12/08/2005
Last updated
11/21/2012
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