Individual
MR. SHAMSU K RAHEEM
Active
Individual
MR. SHAMSU K RAHEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
14-1925106
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635092
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/01/2006
Last updated
03/11/2019
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