Individual
ASRA RAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
221 NE GLEN OAK AVE STE W514, PEORIA, IL 61636-5069
(309) 672-5522
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-3863
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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