Individual
KORHAN B RAIF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
868 MORTIMER ST, BARRY, IL 62312-1249
(217) 335-2343
Mailing address
868 MORTIMER ST, BARRY, IL 62312-1249
(217) 335-2343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036092531
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092531
—
IL
Enumeration date
02/08/2006
Last updated
02/12/2010
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