Provider Demographics
NPI:1871870725
Name:ILSAR, RAHN (MD)
Entity type:Individual
Prefix:
First Name:RAHN
Middle Name:
Last Name:ILSAR
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2160 S FIRST AVENUE
Mailing Address - Street 2:CARDIOVASCULAR INSTITUTE, EMS 6TH FLOOR
Mailing Address - City:MAYWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60153
Mailing Address - Country:US
Mailing Address - Phone:708-216-2653
Mailing Address - Fax:708-216-6829
Practice Address - Street 1:2160 S 1ST AVE
Practice Address - Street 2:CARDIOVASCULAR INSTITUTE, EMS 6TH FLOOR
Practice Address - City:MAYWOOD
Practice Address - State:IL
Practice Address - Zip Code:60153-3328
Practice Address - Country:US
Practice Address - Phone:708-216-2653
Practice Address - Fax:708-216-6829
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-07
Last Update Date:2011-11-07
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Provider Licenses
StateLicense IDTaxonomies
IL125057735207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology