Individual
RAJEEV DAMIAN PURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 SOUTH KENNEDY DR, BRADLEY, IL 60915
(815) 928-8050
(815) 928-9858
Mailing address
400 SOUTH KENNEDY DR, BRADLEY, IL 60915
(815) 928-8050
(815) 928-9858
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-107603
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36107603
—
IL
Enumeration date
08/04/2006
Last updated
04/06/2016
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