Rahman, Desiree A.

Rahman, Desiree A. is an individual health care provider with primary practice located at 3033 W Jefferson St #107, Joliet IL 60435-5261. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Rahman, Desiree A. can be contacted via phone (815) 773-0772.

Contact Information

Primary practice address
3033 W Jefferson St #107 Joliet IL 60435-5261
Phone: (815) 773-0772
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 036-110290 Illinois

Profile Details

NPI number 1871679522
LBN Legal business name Rahman, Desiree A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Nov 16th, 2016 - about 9 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 1871679522 NPPES
Illinois MEDICAID 3621679522

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