Basic Information
Provider Information
NPI: 1689934689
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: REHMAN
FirstName: RABEAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4201 W MEDICAL CENTER DR
Address2:  
City: MCHENRY
State: IL
PostalCode: 600508409
CountryCode: US
TelephoneNumber: 8157594323
FaxNumber: 8157594948
Practice Location
Address1: 4201 W MEDICAL CENTER DR
Address2:  
City: MCHENRY
State: IL
PostalCode: 600508409
CountryCode: US
TelephoneNumber: 8157594323
FaxNumber: 8157594948
Other Information
ProviderEnumerationDate: 05/23/2012
LastUpdateDate: 06/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X01075616AINN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000X51579SCN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X036148382ILY Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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