Individual
MR. RAED ABDALLAH RTAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SA-C, RSA
Contact information
Practice address
114 W ROCKLAND RD, LIBERTYVILLE, IL 60048-2774
(847) 353-8802
(847) 353-8812
Mailing address
4921 N TALMAN AVE, FL. 2, CHICAGO, IL 60625-2721
(773) 961-5548
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
238000322
IL
246ZS0410X
Surgical Technologist
238000322
IL
Other
Enumeration date
02/24/2012
Last updated
02/24/2012
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