Idries Jamal Abdur Rahman (NPI# 1891727236, PAC ID# 4688671332) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1891727236 |
| PAC ID by PECOS | 4688671332 |
| Professional Enrollment ID | I20061023000367 |
| Full Name | Idries Jamal Abdur Rahman |
| Organization Legal Name | EMERGENCY PROFESSIONALS OF ILLINOIS SC |
| Address |
3249 Oak Park Ave Berwyn IL 60402-3429 |
| Phone Number | 7087833305 |
| Gender | M |
| Credential | MD |
| Medical School | RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY |
| Graduation Year | 2002 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Group Practice PAC ID | 3870804297 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140084 | VISTA MEDICAL CENTER EAST |
| Address | Phone | Organization |
|---|---|---|
| 3249 Oak Park Ave, Berwyn, IL 60402-3429 | 7087833305 | EMERGENCY PROFESSIONALS OF ILLINOIS SC |
| 200 S Greenleaf St, Gurnee, IL 60031-3398 | WAUKEGAN CLINIC CORP | |
| 3 S Greenleaf St, Suite A, Gurnee, IL 60031-3377 | 8472440222 | WAUKEGAN CLINIC CORP |
| 1324 N Sheridan Rd, Waukegan, IL 60085-2161 | 8473603000 | WAUKEGAN CLINIC CORP |
| 2400 Belvidere Rd, Waukegan, IL 60085-6165 | 8473778800 | COUNTY OF LAKE |
| Organization Legal Name | EMERGENCY PROFESSIONALS OF ILLINOIS SC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sridevi K Sullivan | Obstetrics/gynecology | Emergency Professionals of Illinois Sc | 3249 Oak Park Ave, Berwyn, IL 60402-3429 |
| Andrea D Jones | Obstetrics/gynecology | Emergency Professionals of Illinois Sc | 3249 Oak Park Ave, Berwyn, IL 60402-3429 |
| Street Address |
3249 OAK PARK AVE |
| City | BERWYN |
| State | IL |
| Zip | 60402-3429 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yoonyie Cho | Anesthesiology | North American Partners In Anesthesia Illinois LLC | 3249 Oak Park Ave, Berwyn, IL 60402-3429 |
| Elizabeth A Koch | Physician Assistant | Neurological Surgery and Spine Surgery S C | 3249 Oak Park Ave, Berwyn, IL 60402-3429 |
| Wickii T Vigneswaran | Thoracic Surgery | Gottlieb Community Health Services Corporation | 3249 Oak Park Ave, Berwyn, IL 60402-3429 |
| Bharti Raizada | Anesthesiology | North American Partners In Anesthesia Illinois LLC | 3249 Oak Park Ave, Berwyn, IL 60402-3429 |
| Stacey Rogers | Nurse Practitioner | Chicagoland Integrated Professionals, Inc | 3249 Oak Park Ave, Berwyn, IL 60402-3429 |
| David A Cusick | Cardiovascular Disease (cardiology) | Gottlieb Community Health Services Corporation | 3249 Oak Park Ave, Berwyn, IL 60402-3429 |
| Sindhu L Joseph | Internal Medicine | Gottlieb Community Health Services Corporation | 3249 Oak Park Ave, Berwyn, IL 60402-3429 |
| Ann Hulme | Physical Medicine and Rehabilitation | Gottlieb Community Health Services Corporation | 3249 Oak Park Ave, Berwyn, IL 60402-3429 |
| Akash D Shah | Diagnostic Radiology | Metropolitan Advanced Radiological Services Ltd | 3249 Oak Park Ave, Berwyn, IL 60402-3429 |
| George V Bucciero | Podiatry | 3249 Oak Park Ave, Berwyn, IL 60402-3429 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth A Dowell | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Katherine Herold | Certified Nurse Midwife (cnm) | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Christine Elaine Schultheiss | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Erika Montoya | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Katherine M Wehrmann | Certified Nurse Midwife (cnm) | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Rebecca C Dehoek | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Moshini Sivasubramaniam | Family Medicine | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Brian Kroener | Family Practice | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Ellen B Barton | Nurse Practitioner | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Charles T Yingling | Nurse Practitioner | Pcc Community Wellness Center | 6201 Roosevelt Rd, Berwyn, IL 60402-1108 |
| Find all physicians in zip 60402 | |||
| City | BERWYN |
| Zip Code | 60402 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | BERWYN + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Idries Jamal Abdur Rahman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.