Individual
RAEDA ALSHANTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
233 S GARY AVE, BLOOMINGDALE, IL 60108-2213
(630) 208-6775
(630) 208-7937
Mailing address
233 S GARY AVE, BLOOMINGDALE, IL 60108-2213
(630) 208-6775
(630) 208-7937
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036148192
IL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036148192
IL
Other
Enumeration date
10/04/2016
Last updated
08/06/2025
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