Raheem, Shamsu K
Raheem, Shamsu K is an sole proprietor health care provider with primary practice located at 231 E 75Th St Suite 2, Chicago IL 60619-2267. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Raheem, Shamsu K can be contacted via phone (773) 651-8010.Contact Information
Primary practice address
231 E 75Th St Suite 2
Chicago IL 60619-2267
Phone: (773) 651-8010
Fax: (773) 651-8047
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 14-1925106 | Illinois |
Profile Details
| NPI number | 1821175399 |
|---|---|
| LBN Legal business name | Raheem, Shamsu K |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 1st, 2006 |
| Last updated | Mar 11th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821175399 | NPPES |
| Illinois | Other | 1635092 | BLUE CROSS BLUE SHIELD |
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