Organization Active NPI

Raad N Rashan M D S C

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1295038818
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036097425 Issued in IL
Legal business name
RAAD N RASHAN M D S C
Practice address
3743 W Chicago Ave
Chicago, IL 60624
Phone
(773) 823-1860
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Mr. Raad Rashan, M.DNPI 1861431827
Title
President
Phone
(773) 823-1860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 036097425 IL Primary

Addresses

Primary practice location

3743 W Chicago Ave
Chicago, IL 60624

Mailing address

4922A S Cornell Ave
Chicago, IL 60615-3084
Phone (773) 823-1860

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110511000443 IL Part B Supplier - Clinic/Group Practice 5991981862 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Bridgeview, IL

National Provider Directory

National Provider Directory

Locations

7267 W 87th St
Bridgeview, IL 60455
Phone (708) 576-8330

1431 N Claremont Ave
Chicago, IL 60622
Phone (312) 491-5498

1544 W Chicago Ave
Chicago, IL 60642
Phone (312) 432-1707

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1295038818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4922A S CORNELL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153084",
            "telephone_number": "773-823-1860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3743 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60624",
            "telephone_number": "773-823-1860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAAD N RASHAN M D S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "RASHAN",
        "authorized_official_first_name": "RAAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-823-1860",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036097425",
            "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 Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.