Individual
FIRAS Y RAFATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
26W171 ROOSEVELT RD, WHEATON, IL 60187-6002
(630) 909-8000
Mailing address
PO BOX 11637, PENSACOLA, FL 32524-1637
(850) 484-4080
(850) 484-8801
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
DO.2547
AL
208100000X
Physical Medicine & Rehabilitation Physician
125.069506
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2016
Last updated
07/16/2021
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