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Individual

DR. ASHRAF H ABOURAHMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5702 W 95TH ST, SUITE B, OAK LAWN, IL 60453-2345
(708) 952-1040
(708) 952-1060
Mailing address
5702 W 95TH ST, SUITE B, OAK LAWN, IL 60453-2345
(708) 952-1040
(708) 952-1060

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036086472
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036086472
IL
01
060069634
RAILROAD MEDICARE
IL
01
1626734
BCBS
IL
01
199793062487
HUMANA
IL
01
7418171
AETNA
IL
Enumeration date
05/02/2006
Last updated
06/25/2008
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