Organization
SHERIF RAGHEB M.D., S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA BROWN (OFFICE MANAGER)
(309) 283-5900
Entity
Organization
Contact information
Practice address
1931 E 10TH AVE., MILAN, IL 61264
(309) 283-5900
(309) 283-0829
Mailing address
1931 E 10TH AVE., MILAN, IL 61264
(309) 283-5900
(309) 283-0829
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08132175
BLUE CROSS BLUE SHIELD
IL
Enumeration date
10/29/2007
Last updated
03/18/2008
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