Individual
MR. SHAMSU K RAHEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
231 E 75TH ST, SUITE 2, CHICAGO, IL 60619-2267
(773) 651-8010
(773) 651-8047
Mailing address
231 E 75TH ST, SUITE 2, CHICAGO, IL 60619-2267
(773) 651-8010
(773) 651-8047
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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