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Individual

DR. RAJANI KOSURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1111 SUPERIOR ST STE 204, MELROSE PARK, IL 60160-4156
(219) 299-3388
(708) 338-1780
Mailing address
PO BOX 5391, WOODRIDGE, IL 60517-0391
(219) 299-3388
(708) 338-1780

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301086504
MI
207RN0300X
Nephrology Physician
Primary
036123880
IL

Other

Enumeration date
05/14/2007
Last updated
09/04/2025
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