Basic Information
| Provider Information | |||||||||
| NPI: | 1104316611 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | RAHMING | ||||||||
| FirstName: | HAROLD | ||||||||
| MiddleName: | LEROY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2734 W 87TH ST # 226 | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606523937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7739184700 | ||||||||
| FaxNumber: | 7733133763 | ||||||||
| Practice Location | |||||||||
| Address1: | 2734 W 87TH ST # 226 | ||||||||
| Address2: | |||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606523937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7739184700 | ||||||||
| FaxNumber: | 7733133763 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/10/2018 | ||||||||
| LastUpdateDate: | 07/29/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 07/29/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 036155393 | IL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.