Organization
RITL MEDICAL SERVICES SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJESH IYENGAR MD (PRESIDENT)
(847) 864-8757
Entity
Organization
Contact information
Practice address
12935 GREGORY ST, BLUE ISLAND, IL 60406-2428
(630) 734-0200
(630) 734-1560
Mailing address
DEPARTMENT 4638, CAROL STREAM, IL 60122-4638
(847) 864-8757
(630) 734-1560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036112541
IL
Other
Enumeration date
12/28/2009
Last updated
11/26/2013
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