Abdulla, Raid

Abdulla, Raid is an individual health care provider with primary practice located at 1653 W Congress Pkwy 770 Jones, Chicago IL 60612-3833. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Cardiology. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Abdulla, Raid can be contacted via phone (312) 942-6800.

Contact Information

Primary practice address
1653 W Congress Pkwy 770 Jones Chicago IL 60612-3833
Fax: (312) 942-6801
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-085177 Illinois
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 036085177 Illinois

Profile Details

NPI number 1710037742
LBN Legal business name Abdulla, Raid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Apr 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710037742 NPPES
Illinois MEDICAID 036085177

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