Individual
RAGHAVENDER THUNGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3204
(847) 990-2135
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036095096
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
036095096
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004930110
BCBS
IL
05
—
036095096
—
IL
01
—
050080729
RAILROAD MEDICARE
IL
01
—
111282
HEALTH PARTNERS
IL
Enumeration date
02/17/2006
Last updated
06/26/2024
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