Individual
ASRA RAB
Active
Individual
ASRA RAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036152356
IL
208M00000X
Hospitalist Physician
036.152356
IL
Other
Enumeration date
05/11/2017
Last updated
10/07/2024
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