Individual
JHANSI RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3700 W 26TH ST, CHICAGO, IL 60623-3824
(773) 542-5203
(773) 542-5841
Mailing address
3700 W 26TH ST, CHICAGO, IL 60623-3824
(773) 542-5203
(773) 542-5841
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036-106018
IL
Other
Enumeration date
10/25/2006
Last updated
05/14/2012
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