| Rafa S Adi MD Ltd | |
|
1870 W Winchester Rd Suite 246 Libertyville IL 60048-5358 | |
| (847) 362-5344 | |
| (847) 362-5332 |
| Full Name | Rafa S Adi MD Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 1870 W Winchester Rd, Libertyville, Illinois |
| Authorized Official Name and Position | Rafa Adi (OWNER) |
| Authorized Official Contact | 8473625344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rafa S Adi MD Ltd 1870 W Winchester Rd Suite 246 Libertyville IL 60048-5358 Ph: (847) 362-5344 | Rafa S Adi MD Ltd 1870 W Winchester Rd Suite 246 Libertyville IL 60048-5358 Ph: (847) 362-5344 |
| NPI Number | 1134257660 |
|---|---|
| Provider Enumeration Date | 02/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134257660 | NPI | - | NPPES |
| 04921389 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
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