Rifai, Luay

Rifai, Luay is an individual health care provider with primary practice located at 3545 W 95Th St , Evergreen Park IL 60805-2135. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Rifai, Luay can be contacted via phone (708) 346-5562.

Contact Information

Primary practice address
3545 W 95Th St Evergreen Park IL 60805-2135
Phone: (708) 346-5562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-129990 Illinois

Profile Details

NPI number 1871734723
LBN Legal business name Rifai, Luay
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2009
Last updated Dec 20th, 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 1871734723 NPPES
Illinois MEDICAID 036129990

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