Basic Information
| Provider Information | |||||||||
| NPI: | 1043309123 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAZEER | ||||||||
| FirstName: | RAHEEMUDDIN | ||||||||
| MiddleName: | |||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2525 KANEVILLE RD | ||||||||
| Address2: | |||||||||
| City: | GENEVA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601342578 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6309384011 | ||||||||
| FaxNumber: | 6305841400 | ||||||||
| Practice Location | |||||||||
| Address1: | 2535 SODERQUIST CT | ||||||||
| Address2: | |||||||||
| City: | GENEVA | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601340020 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6305841400 | ||||||||
| FaxNumber: | 6305841733 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2006 | ||||||||
| LastUpdateDate: | 08/30/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/30/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RR0500X | 01075881A | IN | N | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology | 207RR0500X | 036099061 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Rheumatology |
ID Information
| ID | Type | State | Issuer | Description | 201324520 | 05 | IN | MEDICAID |