Individual
RAGHU DEEP DARISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4501 S STATE ST, CHICAGO, IL 60609-3758
(773) 548-0600
Mailing address
4501 S STATE ST, CHICAGO, IL 60609-3758
(773) 548-0600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019036369
IL
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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