Individual
DR. ROUBA BARAKAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7451 WOODWARD AVE, SUITE108, WOODRIDGE, IL 60517-2665
(630) 724-0357
Mailing address
7451 WOODWARD AVE STE 108, WOODRIDGE, IL 60517-2665
(630) 724-0357
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036090768
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090768
—
IL
01
—
CAQH
10573379
—
01
—
ILLINOIS MEDICAID
036090768
IL
Enumeration date
06/15/2006
Last updated
03/07/2023
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