Rabia Alvi, MD
Individual provider Active NPI Family Medicine Physician · Oak Lawn, IL
NPI 1740784685 · NPPES record last updated Mar 24, 2022
Key facts
- NPI
- 1740784685
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036.157936 (IL)
- Practice address
- 6101 W 95TH St
Oak Lawn, IL 60453-2735 - Phone
- (708) 261-0831
- Fax
- (773) 790-4077
- NPI assigned
- Mar 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220411000645 | IL | Practitioner - Family Practice | 6800217373 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.157936 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PMR Illinois Holding, LLC | Current |
Accepting new patients |
Locations
1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760
2734 W 87th St
Chicago, IL 60652
Phone (773) 918-4700
6101 W 95th St
Oak Lawn, IL 60453
Phone (708) 261-0831
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036.157936 | IL | Yes |
Addresses
Primary practice location
6101 W 95TH St
Oak Lawn, IL 60453-2735
Mailing address
6101 W 95TH St
Oak Lawn, IL 60453-2735
Phone (708) 261-0831
Other providers in Oak Lawn, IL
- Altar Healthcare Group, PLLC
- David Robert Alter
- R. Scott Altman
- Alberto Alvarez
- Alejandra Alvarez
- Hawa Alyhabib
- Dema Alzein
- Shadia Fareed Amad
- Brooke Esther Amaireh
- Emily Amaral
All providers in Oak Lawn, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.