NPIMap

Organization Active NPI

Roueen Rafeyan MD LTD

  • Psychiatry Physician
  • Chicago, IL
National Provider Identifier
1508048414
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036089152 Issued in IL
Legal business name
ROUEEN RAFEYAN MD LTD
Practice address
1140 N Milwaukee Ave Ste 1
Chicago, IL 60642-4096
Phone
(773) 536-2700
Fax
(773) 536-2703
NPI assigned
Dec 3, 2007
Last updated
Apr 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Authorized official

Name
Roueen Rafeyan, MDNPI 1003891458
Title
Owner
Phone
(847) 433-0057

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 036089152 IL Primary

Addresses

Primary practice location

1140 N Milwaukee Ave Ste 1
Chicago, IL 60642-4096

Mailing address

1140 N Milwaukee Ave Ste 1
Chicago, IL 60642-4096
Phone (773) 536-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310000225 IL Part B Supplier - Clinic/Group Practice 5092603027 Receives reassigned benefits from 5 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

4455 S King Dr
#101
Chicago, IL 60653

950 N York Rd
Ste 107
Hinsdale, IL 60521
Phone (630) 986-5403

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745366400000",
    "number": "1508048414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 N MILWAUKEE AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606424096",
            "telephone_number": "773-536-2700",
            "fax_number": "773-536-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 N MILWAUKEE AVE STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606424096",
            "telephone_number": "773-536-2700",
            "fax_number": "773-536-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUEEN RAFEYAN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A",
        "authorized_official_last_name": "RAFEYAN",
        "authorized_official_first_name": "ROUEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-433-0057",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IL",
            "license": "036089152",
            "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 Apr 23, 2025; 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.