Raheb, Adel Samy
Raheb, Adel Samy is an sole proprietor health care provider with primary practice located at 101 W University Ave Ste 303 , Champaign IL 61820-3981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Raheb, Adel Samy can be contacted via phone (217) 366-1255.Contact Information
Primary practice address
101 W University Ave Ste 303
Champaign IL 61820-3981
Phone: (217) 366-1255
Fax: (217) 429-0108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 036110172 | Illinois |
Profile Details
| NPI number | 1265418982 |
|---|---|
| LBN Legal business name | Raheb, Adel Samy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Feb 13th, 2023 - about 3 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 | 1265418982 | NPPES |
| Illinois | MEDICAID | 036110172 | |
| Illinois | Other | 05832038 | |
| Illinois | Other | DE3439 | |
| Illinois | Other | 634112 | |
| Illinois | Other | P00286821 |
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