NPI 1083124465 · live from the CMS NPI Registry
Academic Rheumatology LLC
Internal Medicine, Rheumatology in Palos Heights, IL. National Provider Identifier 1083124465, active.
NPI record
| NPI | 1083124465 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Rheumatology 207RR0500X |
| Practice location | 13303 S Ridgeland Ave Unit C, Palos Heights, IL 60463 |
| Practice phone | 708-401-3311 |
| Mailing address | 22017 Emily Ln, Frankfort, IL 60423 |
| Enumerated | October 11, 2017 |
| Last updated | October 11, 2017 |
| Authorized official | Ibrahim Alghafeer, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Rheumatology primary | 207RR0500X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.