Provider Demographics
NPI:1043774763
Name:ABDULLAH, RASHIDAH (CNM, RN, CBC, CLC)
Entity type:Individual
Prefix:
First Name:RASHIDAH
Middle Name:
Last Name:ABDULLAH
Suffix:
Gender:F
Credentials:CNM, RN, CBC, CLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1536 N LARAMIE AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60651-1407
Mailing Address - Country:US
Mailing Address - Phone:708-359-9951
Mailing Address - Fax:
Practice Address - Street 1:1536 N LARAMIE AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60651-1407
Practice Address - Country:US
Practice Address - Phone:708-359-9951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-27
Last Update Date:2019-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041259265163W00000X, 163WL0100X
IN554007243163W00000X
374J00000X
IL209001301367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No374J00000XNursing Service Related ProvidersDoula