Individual
MOHAMED ABDEL RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 BIESTERFIELD RD STE 104, ELK GROVE VILLAGE, IL 60007-3372
(847) 981-3680
Mailing address
120 W 22ND ST, OAK BROOK, IL 60523-1557
(630) 573-5000
(630) 974-5274
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036062660
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062660
—
IL
01
—
390006864
RR MEDICARE INDIVIDUAL
IL
01
—
C30486
RR MEDICARE GROUP
IL
Enumeration date
07/07/2005
Last updated
08/02/2023
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