Al-Dallow, Raed

Al-Dallow, Raed is an individual health care provider with primary practice located at 409 W Oak St , Carbondale IL 62901-1464. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Al-Dallow, Raed can be contacted via phone (618) 529-4455.

Contact Information

Primary practice address
409 W Oak St Carbondale IL 62901-1464
Phone: (618) 529-4455
Fax: (618) 351-1287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036106632 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036106632 Illinois

Profile Details

NPI number 1164572095
LBN Legal business name Al-Dallow, Raed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Aug 24th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164572095 NPPES
Illinois Other 00390550 RAILROAD
Illinois MEDICAID 036106632 RAILROAD

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