Provider Demographics
NPI:1588894729
Name:RAHIM, ANITA NASSERALI (MS CCC-SLP)
Entity type:Individual
Prefix:MS
First Name:ANITA
Middle Name:NASSERALI
Last Name:RAHIM
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 OTTAWA LN
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2789
Mailing Address - Country:US
Mailing Address - Phone:773-727-9930
Mailing Address - Fax:630-590-5623
Practice Address - Street 1:309 OTTAWA LN
Practice Address - Street 2:
Practice Address - City:OAK BROOK
Practice Address - State:IL
Practice Address - Zip Code:60523-2789
Practice Address - Country:US
Practice Address - Phone:773-727-9930
Practice Address - Fax:630-590-5623
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2009-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL146008066235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist