Individual provider Active NPI

Raheemunnisa Rawoof, M.D.

  • Spinal Cord Injury Medicine Physician
  • Chicago, IL
National Provider Identifier
1063601847
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Spinal Cord Injury Medicine PhysicianTaxonomy code 2081P0004X
License
036068764 Issued in IL
Practice address
1610 W 63Rd St
Southpoint Medical Center
Chicago, IL 60636-2211
Phone
(773) 436-1770
Fax
(773) 434-1770
NPI assigned
Oct 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Spinal Cord Injury Medicine Physician 2081P0004X 036068764 IL Primary

Addresses

Primary practice location

1610 W 63Rd St
Southpoint Medical Center
Chicago, IL 60636-2211

Mailing address

1610 W 63Rd St
Southpoint Medical Center
Chicago, IL 60636-2211
Phone (773) 436-1770

Other identifiers 1

IdentifierTypeStateIssuer
036068764MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036068764ILMDSpinal Cord Injury Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1063601847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 W 63RD ST",
            "address_2": "SOUTHPOINT MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606362211",
            "telephone_number": "773-436-1770",
            "fax_number": "773-434-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 W 63RD ST",
            "address_2": "SOUTHPOINT MEDICAL CENTER",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606362211",
            "telephone_number": "773-436-1770",
            "fax_number": "773-434-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAWOOF",
        "first_name": "RAHEEMUNNISA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-17",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P0004X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "IL",
            "license": "036068764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068764",
            "state": "IL"
        }
    ],
    "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 Oct 17, 2007; 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.