Individual
LUAY RIFAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3545 W 95TH ST, EVERGREEN PARK, IL 60805-2135
(708) 346-5562
Mailing address
5151 W 95TH ST, OAK LAWN, IL 60453-6460
(708) 346-5562
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-129990
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036129990
—
IL
Enumeration date
03/23/2009
Last updated
12/20/2021
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