Individual
ROBERT LUIS RAFIDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
654 CUTTER LN, ELK GROVE VLG, IL 60007-6924
(847) 894-4127
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-157718
IL
207R00000X
Internal Medicine Physician
125.074280
IL
208M00000X
Hospitalist Physician
Primary
036-157718
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/18/2019
Last updated
12/12/2023
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