Individual
RIMA BAKHOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
155 E BRUSH HILL RD, ELMHURST, IL 60126-5658
(847) 956-6912
Mailing address
PO BOX 3680, PEORIA, IL 61612-3680
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036089931
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360899312
—
IL
Enumeration date
05/18/2006
Last updated
08/31/2011
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