Basic Information
Provider Information
NPI: 1184141319
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BELL
FirstName: RAHEEM
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 E ILLINOIS ST APT 1111
Address2:  
City: CHICAGO
State: IL
PostalCode: 606116301
CountryCode: US
TelephoneNumber: 8627661569
FaxNumber:  
Practice Location
Address1: 251 E HURON ST
Address2:  
City: CHICAGO
State: IL
PostalCode: 606112908
CountryCode: US
TelephoneNumber: 3125037975
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/28/2017
LastUpdateDate: 06/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X125077722ILY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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