Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Raed Al-Dallow, MD

Individual provider Cardiovascular Disease Physician · NPI 1164572095

Raed Al-Dallow, MD is an Interventional Cardiology in Carbondale, Illinois. Qualified in 1997, 29 years ago. Practices with Harrisburg Medical Center Inc, a 19-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
29
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

409 W Oak St
Carbondale, IL 62901-1464
Phone: (618) 529-4455
Fax: (618) 351-1287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 100 Dr Warren Tuttle Dr, Harrisburg, IL 62946-2718 — (618) 529-4455
  • 217 S Park Ave Ste 2, Herrin, IL 62948-3611 — (618) 529-4455
  • 3905 W Ernestine Dr, Marion, IL 62959-5800 — (618) 529-4455
  • 5383 State Route 154, Pinckneyville, IL 62274-3342 — (618) 529-4455

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 036106632 (IL)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 036106632 (IL)

Record details

NPI number1164572095
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 11, 2007
Last updated in NPPESAugust 24, 2022
Certification dateAugust 24, 2022
Mailing addressPo Box 3988, Carbondale, IL 62902-3988

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Harrisburg Medical Center Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Carbondale