Organization Active NPI

Adeebur Rahman MD SC

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1033263371
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ADEEBUR RAHMAN MD SC
Practice address
9133 S Stony Island Ave
Chicago, IL 60617-3512
Phone
(773) 375-3911
Fax
(847) 375-2334
NPI assigned
Jan 23, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Adeebur Rahman, M.D.
Title
Physician
Phone
(773) 375-3911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X IL Primary

Addresses

Primary practice location

9133 S Stony Island Ave
Chicago, IL 60617-3512

Mailing address

9133 S Stony Island Ave
Chicago, IL 60617-3512
Phone (773) 375-3911

National Provider Directory

National Provider Directory

Locations

9133 S Stony Island Ave
Chicago, IL 60617
Phone (773) 221-4645

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033263371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173512",
            "telephone_number": "773-375-3911",
            "fax_number": "847-375-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9133 S STONY ISLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173512",
            "telephone_number": "773-375-3911",
            "fax_number": "847-375-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADEEBUR RAHMAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "ADEEBUR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-375-3911",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.