Individual
DR. LESTER J. RAFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2225 ENTERPRISE DR, SUITE 2511, WESTCHESTER, IL 60154-5814
(708) 486-0076
(708) 486-0080
Mailing address
2225 ENTERPRISE DR, SUITE 2511, WESTCHESTER, IL 60154-5814
(708) 486-0076
(708) 486-0080
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036060672
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036-060672
IL
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
036-060672
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036060672
—
IL
01
—
P00299126
RAILROAD MEDICARE
—
Enumeration date
04/24/2006
Last updated
08/21/2019
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