Individual
DHUHA RAAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3132 OLD JACKSONVILLE RD STE 200, SPRINGFIELD, IL 62704-7401
(217) 862-0800
(217) 862-0871
Mailing address
PO BOX 3428, SPRINGFIELD, IL 62708-3428
(800) 577-5368
(217) 757-2021
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036146732
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
336108407
CS
IL
Enumeration date
03/09/2015
Last updated
10/02/2020
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