Organization Active NPI

Sherif Ragheb M.D., S.C.

  • Otolaryngology Physician
  • Milan, IL
National Provider Identifier
1396924262
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
SHERIF RAGHEB M.D., S.C.
Practice address
1931 E 10TH Ave.
Milan, IL 61264
Phone
(309) 283-5900
Fax
(309) 283-0829
NPI assigned
Oct 29, 2007
Last updated
Mar 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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

Authorized official

Name
Mrs. Lisa Brown
Title
Office Manager
Phone
(309) 283-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X NU Primary

Addresses

Primary practice location

1931 E 10TH Ave.
Milan, IL 61264

Mailing address

1931 E 10TH Ave.
Milan, IL 61264
Phone (309) 283-5900

Other identifiers 1

IdentifierTypeStateIssuer
08132175OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1931 10th Ave E
Milan, IL 61264
Phone (309) 283-5900

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1396924262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 E 10TH AVE.",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "61264",
            "telephone_number": "309-283-5900",
            "fax_number": "309-283-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 E 10TH AVE.",
            "city": "MILAN",
            "state": "IL",
            "postal_code": "61264",
            "telephone_number": "309-283-5900",
            "fax_number": "309-283-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERIF RAGHEB M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-283-5900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "08132175",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.