Provider Demographics
NPI:1689660763
Name:RAHIM, AMINA M (MD)
Entity type:Individual
Prefix:
First Name:AMINA
Middle Name:M
Last Name:RAHIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1931 MOHAVE CT
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:WI
Mailing Address - Zip Code:53024-1216
Mailing Address - Country:US
Mailing Address - Phone:847-275-6499
Mailing Address - Fax:
Practice Address - Street 1:959 W GOLF RD
Practice Address - Street 2:959-963
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-1329
Practice Address - Country:US
Practice Address - Phone:847-490-6817
Practice Address - Fax:847-490-6819
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-23
Last Update Date:2024-10-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036087153207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036087153Medicaid
ILG81617Medicare UPIN
IL036087153Medicaid