Individual
IDRIES ABDUR-RAHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1300 STARFIRE DR, SUITE B, OTTAWA, IL 61350-1624
(815) 434-2229
(815) 434-4229
Mailing address
1300 STARFIRE DR, SUITE B, OTTAWA, IL 61350-1624
(815) 434-2229
(815) 434-4229
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036114960
IL
Other
Enumeration date
07/07/2006
Last updated
09/05/2012
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