Individual
RAMANUJAM GOVINDARAJAN PRATIVADI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 N WESTMORELAND RD, RADIOLOGY DEPARTMENT, LAKE FOREST, IL 60045-1658
(847) 535-6300
Mailing address
1275 E BELVIDERE RD STE 200, GRAYSLAKE, IL 60030-2083
(847) 535-7480
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036150831
IL
Other
Enumeration date
04/10/2012
Last updated
10/08/2019
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