Individual
ANIL RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1775 W DEMPSTER ST DEPT OF, PARK RIDGE, IL 60068-1143
(847) 723-8236
(847) 723-8522
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1292
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
036146059
IL
2085P0229X
Pediatric Radiology Physician
AL28442
SC
2085R0202X
Diagnostic Radiology Physician
036146059
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
284427
—
SC
Enumeration date
06/13/2006
Last updated
01/16/2024
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