Doctor Name: | DR. RAFI K ALTAWEEL |
NPI Number: | 1053623009 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036070302 |
Business Practice Address: | 3710 Capri Ct Glenview, IL - 600253810 |
Business Phone Number: | 8476356611 |
Business Fax Number: | |
Mailing Address: | 3710 Capri Ct, GLENVIEW |
State: | IL |
Postal Code: | 600253810 |
Phone Number: | 8476356611 |
Fax Number: | |
NPI Enumeration Date: | 07/07/2010 |
NPI Last Update Date: | 07/26/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036070302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |