Raheb, Adel Samy

Raheb, Adel Samy is an sole proprietor health care provider with primary practice located at 101 W University Ave Ste 303 , Champaign IL 61820-3981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Raheb, Adel Samy can be contacted via phone (217) 366-1255.

Contact Information

Primary practice address
101 W University Ave Ste 303 Champaign IL 61820-3981
Phone: (217) 366-1255
Fax: (217) 429-0108
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036110172 Illinois

Profile Details

NPI number 1265418982
LBN Legal business name Raheb, Adel Samy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2005
Last updated Feb 13th, 2023 - about last year

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 1265418982 NPPES
Illinois MEDICAID 036110172
Illinois Other 05832038
Illinois Other DE3439
Illinois Other 634112
Illinois Other P00286821

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