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Individual

ANWER ZIA RAHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
12251 S 80TH AVE, PALOS HEIGHTS, IL 60463-1256
(708) 923-5869
(708) 923-5859
Mailing address
12251 S 80TH AVE STE 1630, PALOS HEIGHTS, IL 60463-1256
(708) 923-5173
(708) 923-5018

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.114161
IL
208M00000X
Hospitalist Physician
Primary
036114161
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036114161
IL
01
F400392630
MEDICARE PTAN
IL
Enumeration date
02/09/2006
Last updated
02/06/2018
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