Adi, Rafa

Adi, Rafa is an sole proprietor health care provider with primary practice located at 6 E Phillip Rd Ste 1109, Vernon Hills IL 60061-1700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Adi, Rafa can be contacted via phone (847) 362-5344.

Contact Information

Primary practice address
6 E Phillip Rd Ste 1109 Vernon Hills IL 60061-1700
Fax: (847) 362-5332
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 55-0860163 Illinois

Profile Details

NPI number 1205845054
LBN Legal business name Adi, Rafa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2006
Last updated Dec 15th, 2019 - about 5 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 1205845054 NPPES
Illinois MEDICAID 036087417

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