Basic Information
| Provider Information | |||||||||
| NPI: | 1932620333 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ABBASI SCHAINKER PHYSICIAN NETWORK, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 470 | ||||||||
| Address2: | |||||||||
| City: | OAK PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 603030470 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7087631222 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3 ERIE CT STE L700 | ||||||||
| Address2: | |||||||||
| City: | OAK PARK | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60302 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7087631222 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/06/2017 | ||||||||
| LastUpdateDate: | 07/11/2018 | ||||||||
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| AuthorizedOfficialLastName: | ABBASI | ||||||||
| AuthorizedOfficialFirstName: | RAFAY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CO-OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7325015497 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208M00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Hospitalist |
No ID Information.