Individual
SHERIF M RAGHEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1931 10TH AVE E, MILAN, IL 61264-2953
(309) 283-5900
(309) 283-0823
Mailing address
1931 10TH AVE E, MILAN, IL 61264-2953
(309) 283-5900
(309) 283-0823
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036083798
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083798
—
IL
01
—
08132175
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/31/2006
Last updated
05/29/2008
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