Individual
VINITHA RAGHAVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3358 W 95TH ST, EVERGREEN PARK, IL 60805-2236
(708) 952-3040
(708) 952-3043
Mailing address
210 S DESPLAINES ST, CHICAGO, IL 60661-5500
(312) 654-2700
(312) 654-9930
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036-082385
IL
207RN0300X
Nephrology Physician
036082385
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082385
—
IL
Enumeration date
01/16/2006
Last updated
12/20/2021
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