Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 209023475 | IL |
N | 207PE0004X | Emergency Medical Services | 209023475 | IL |
N | 207QG0300X | Family Doctor - Geriatric Medicine | 209023475 | IL |
Y | 207RC0000X | Internist - Cardiovascular Disease | 209023475 | IL |
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | 209023475 | IL |
N | 207RG0300X | Geriatric Medicine | 209023475 | IL |
N | 207RI0011X | Interventional Cardiology | 209023475 | IL |
N | 207RP1001X | Pulmonary Disease | 209023475 | IL |
NPI | 1346824620 |
---|---|
Provider Name | Rahmana Aziz Smith |
First Address | Chicago, IL 60617-4126 |
Second Address | Des Plaines, IL 60019-1443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2021 |
Last Update Date | 20/08/2021 |