Individual
DR. MANISH TUSHAR RAIJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST STE 1332H, OAK LAWN, IL 60453-2600
(708) 684-5437
(708) 684-4808
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101248942
VA
2086S0120X
Pediatric Surgery Physician
Primary
036137128
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2008
Last updated
09/20/2022
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