Individual
BRANDON RAFIDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
240 E HURON ST STE 1-200, CHICAGO, IL 60611-2909
(312) 503-7975
Mailing address
240 E HURON ST STE 1-200, CHICAGO, IL 60611-2909
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125.083314
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/23/2020
Last updated
05/30/2024
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