Provider Demographics
NPI:1275217242
Name:RAHMAN, ZEIN HASAN (AUD)
Entity type:Individual
Prefix:
First Name:ZEIN
Middle Name:HASAN
Last Name:RAHMAN
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1711 FOREST COVE DR APT 209
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-5434
Mailing Address - Country:US
Mailing Address - Phone:972-992-8242
Mailing Address - Fax:
Practice Address - Street 1:1617 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-1200
Practice Address - Country:US
Practice Address - Phone:630-968-0085
Practice Address - Fax:630-472-5163
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147.001947231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist