Individual
RAJ MAHTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 W GOLF RD, HOFFMAN ESTATES, IL 60169-1340
(847) 413-1611
Mailing address
1683 ROSEHALL LN, ELGIN, IL 60123-8932
(773) 663-1602
(847) 483-2074
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
041.333893
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
261474424
TAX ID
IL
Enumeration date
06/08/2016
Last updated
09/29/2021
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