Provider Demographics
NPI:1619850724
Name:HANIF, RAINAH
Entity type:Individual
Prefix:
First Name:RAINAH
Middle Name:
Last Name:HANIF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4105 N PHEASANT TRAIL CT UNIT 2
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-7990
Mailing Address - Country:US
Mailing Address - Phone:630-600-7622
Mailing Address - Fax:
Practice Address - Street 1:4105 N PHEASANT TRAIL CT UNIT 2
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-7990
Practice Address - Country:US
Practice Address - Phone:630-600-7622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.0361181223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice