Individual
MR. GOPAL TERALANDUR RAGHUNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MS, DPT, CSCS
Contact information
Practice address
125 E LAKE COOK RD, SUITE 209, BUFFALO GROVE, IL 60089-4356
(847) 520-3382
(847) 520-3404
Mailing address
125 E LAKE COOK RD, STE. 209, BUFFALO GROVE, IL 60089-4356
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
070013042
IL
Other
Enumeration date
04/04/2007
Last updated
08/20/2013
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