Individual
DR. ADEL SAMY RAHEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 W UNIVERSITY AVE STE 303, CHAMPAIGN, IL 61820-3981
(217) 366-1255
(217) 429-0108
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 366-1255
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036110172
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110172
—
IL
01
—
05832038
BLUE CROSS/BLUE SHIELD
IL
01
—
634112
HEALTHLINK
IL
01
—
DE3439
RAILROAD MEDICARE GROUP PIN
IL
01
—
P00286821
RAILROAD MEDICARE PIN
IL
Enumeration date
12/15/2005
Last updated
02/13/2023
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