Provider Demographics
NPI:1902088859
Name:RAND MEDICAL CLINIC SC
Entity Type:Organization
Organization Name:RAND MEDICAL CLINIC SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIR
Authorized Official - Middle Name:
Authorized Official - Last Name:TURAYHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-670-8600
Mailing Address - Street 1:130 N GARLAND CT APT 1802
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60602-4769
Mailing Address - Country:US
Mailing Address - Phone:847-670-8600
Mailing Address - Fax:847-236-1825
Practice Address - Street 1:800 BIESTERFIELD RD
Practice Address - Street 2:
Practice Address - City:ELK GROVE VILLAGE
Practice Address - State:IL
Practice Address - Zip Code:60007-3361
Practice Address - Country:US
Practice Address - Phone:847-670-8699
Practice Address - Fax:847-236-1825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
31602600OtherBCBS
IL=========Medicaid
31602600OtherBCBS