Provider Demographics
NPI:1992754709
Name:SOOFI, RASHEED (MD)
Entity type:Individual
Prefix:
First Name:RASHEED
Middle Name:
Last Name:SOOFI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 74
Mailing Address - Street 2:
Mailing Address - City:FOX RIVER GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60021-0074
Mailing Address - Country:US
Mailing Address - Phone:847-358-6006
Mailing Address - Fax:847-358-2808
Practice Address - Street 1:1112 W NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-2214
Practice Address - Country:US
Practice Address - Phone:847-358-6006
Practice Address - Fax:847-358-2808
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC59654Medicare ID - Type Unspecified