Basic Information
Provider Information
NPI: 1912294455
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALRAHMANI
FirstName: LAYAN
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2160 S 1ST AVE RM 1004
Address2:  
City: MAYWOOD
State: IL
PostalCode: 601533328
CountryCode: US
TelephoneNumber: 7082165459
FaxNumber:  
Practice Location
Address1: 2160 S 1ST AVE RM 1004
Address2:  
City: MAYWOOD
State: IL
PostalCode: 601533328
CountryCode: US
TelephoneNumber: 7082165459
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/05/2011
LastUpdateDate: 04/29/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/29/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000X59055MNN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X4301098864MIN Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207V00000X036153030ILY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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