Individual
DR. DESIREE A. RAHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3033 W JEFFERSON ST, #107, JOLIET, IL 60435-5261
(815) 773-0772
Mailing address
3033 W JEFFERSON ST, SUITE 107, JOLIET, IL 60435-5261
(815) 773-0772
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-110290
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3621679522
—
IL
Enumeration date
10/27/2006
Last updated
11/16/2016
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