Individual
DR. MOUYYAD WAKAA RAHABY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD.
Contact information
Practice address
900 TECHNOLOGY WAY, SUITE 220, LIBERTYVILLE, IL 60048-5364
(847) 367-7171
(847) 367-7177
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036118564
IL
207RC0000X
Cardiovascular Disease Physician
036-118564
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
036118564
IL
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
5431220
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100015486
—
WI
Enumeration date
02/13/2009
Last updated
07/11/2024
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