Organization
GLAUCOMA ASSOCIATES OF ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZIZUR RAHMAN MD (OWNER)
(312) 543-6865
Entity
Organization
Contact information
Practice address
695 N PERRYVILLE RD STE 3, ROCKFORD, IL 61107-6225
(815) 904-6011
(815) 904-6171
Mailing address
201 E CHESTNUT ST APT 9A, CHICAGO, IL 60611-7376
(630) 242-6500
(815) 399-5543
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036129423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129423
—
IL
01
—
P01320105
RAILROAD MEDICARE
—
Enumeration date
11/03/2017
Last updated
03/20/2025
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