Abdulla, Raid
Abdulla, Raid is an individual health care provider with primary practice located at 1653 W Congress Pkwy 770 Jones, Chicago IL 60612-3833. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Abdulla, Raid can be contacted via phone (312) 942-6800.Contact Information
Primary practice address
1653 W Congress Pkwy 770 Jones
Chicago IL 60612-3833
Phone: (312) 942-6800
Fax: (312) 942-6801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036-085177 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Cardiology | 2080P0202X | 036085177 | Illinois |
Profile Details
| NPI number | 1710037742 |
|---|---|
| LBN Legal business name | Abdulla, Raid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Apr 21st, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710037742 | NPPES |
| Illinois | MEDICAID | 036085177 |
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