Shamsu K Raheem in Chicago - Sports Physician
Shamsu K Raheem - NPI 1821175399
Shamsu K Raheem is a Sports Physician in Chicago, Illinois. Shamsu K Raheem practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Shamsu K Raheem is 1821175399. The last update date is 2019-03-11.
Shamsu K Raheem's current location address is 231 E 75th St, Chicago, Illinois. You can contact this provider via phone number 7736518010 and fax number 7736518047. The mailing address for Shamsu K Raheem is 231 E 75th St, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shamsu K Raheem |
|---|---|
| Address | 231 E 75th St, Chicago, Illinois |
| Phone Number | 7736518010 |
| Fax Number | 7736518047 |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1821175399 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2019-03-11 |
Provider Mailing Address Detail
| Address | 231 E 75th St |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606192267 |
| Phone Number | 7736518010 |
| Fax Number | 7736518047 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 14-1925106 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1635092 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Shamsu K Raheem's 1821175399?
The Shamsu K Raheem's NPI (National Provider Identifier) Number is 1821175399. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Shamsu K Raheem's physical address?
The Shamsu K Raheem is physically located at 231 E 75Th St, in the city of Chicago, IL, with the postal code 606192267.
What is Shamsu K Raheem's area of expertise and its corresponding taxonomy classification?
The Shamsu K Raheem's field of specialization is Sports Physician, and it falls under the taxonomy code 111Ns0005X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1821175399 to Shamsu K Raheem?
The Centers for Medicare & Medicaid Services originally issued the 1821175399 to Shamsu K Raheem on 2006-11-01.
As of what date was the information pertaining to Shamsu K Raheem, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Shamsu K Raheem, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-03-11.