Individual
AZIZUR RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
695 N PERRYVILLE RD, ROCKFORD, IL 61107-6225
(815) 904-6011
(815) 904-6171
Mailing address
695 N PERRYVILLE RD STE 3, ROCKFORD, IL 61107-6225
(815) 904-6011
(815) 904-6171
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
O36129423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
371909283
TRICARE
TN
05
—
3843144
—
TN
01
—
4134410
TENNCARE SELECT
TN
01
—
621298175
DEFAULT
TN
01
—
P01320105
RAILROAD MEDICARE
IL
Enumeration date
02/02/2006
Last updated
03/20/2025
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