Individual
RAGHUVANSH KUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(872) 231-3162
(708) 481-2917
Mailing address
PO BOX 74008272, CHICAGO, IL 60674-8272
(702) 899-0595
(702) 977-1496
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036099114
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099114
—
IL
Enumeration date
09/26/2006
Last updated
10/02/2025
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