Rafa Adi, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

55-0860163 Issued in IL

Practice address

6 E Phillip Rd
Ste 1109
Vernon Hills, IL 60061-1700

Phone

(847) 362-5344

Fax

(847) 362-5332

NPI assigned

Aug 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576368000000",
    "number": "1205845054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 ROYAL BIRKDALE DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600614572",
            "telephone_number": "224-628-8452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 E PHILLIP RD",
            "address_2": "STE 1109",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611700",
            "telephone_number": "847-362-5344",
            "fax_number": "847-362-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADI",
        "first_name": "RAFA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "55-0860163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087417",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.