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DR. MALIK AQUEEL RAHEEM EDD
NPI 1104494715
Counselor - Professional in Chicago, IL

Active since June 11, 2021
3540 S STATE ST APT 302, CHICAGO, IL 60609(312) 590-0718 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Malik Aqueel Raheem Edd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MALIK AQUEEL RAHEEM EDD (NPI 1104494715) is an individual professional provider in Chicago, Illinois, licensed in Illinois (178.017040) and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1104494715
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameDR. MALIK AQUEEL RAHEEMCredential: EDD
Location Address3540 S STATE ST APT 302Chicago, IL 60609-1948
Mailing Address3540 S State St Apt 302Chicago, IL 60609-1948
Phone(312) 590-0718
Sole ProprietorYes
Enumeration DateJune 11, 2021
NPPES CertifiedJune 11, 2021
✔ NPI 1104494715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 178.017040
3540 S STATE ST APT 302, Chicago, IL 60609
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malik Raheem's NPI number?

The NPI number for Malik Raheem is 1104494715. It was assigned to this individual provider in the NPPES registry on June 11, 2021.

Where is Malik Raheem located?

Malik Raheem practices at 3540 S State St Apt 302, Chicago, IL 60609. The listed phone number is (312) 590-0718.

What is Malik Raheem's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Malik Raheem was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.