Organization
DR ASHRAF ABOURAHMA M D LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASHRAF H ABOURAHMA M.D. (PRESIDENT)
(708) 952-1040
Entity
Organization
Contact information
Practice address
5702 W 95TH ST, SUITE B, OAK LAWN, IL 60453-2345
(708) 952-1040
(708) 952-1060
Mailing address
5702 W 95TH ST, SUITE B, OAK LAWN, IL 60453-2345
(708) 952-1040
(708) 952-1060
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036086472
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086472
—
IL
01
—
060069634
RAILROAD MEDICARE
IL
01
—
1626734
BCBS IL
IL
01
—
199793062487
HUMANA
IL
01
—
7418171
AETNA
IL
Enumeration date
07/04/2006
Last updated
03/07/2023
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