Individual
RAMBHA RADHAKRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2645 W PETERSON AVE, CHICAGO, IL 60659-4017
(773) 275-8630
(773) 275-8635
Mailing address
2645 W PETERSON AVE, CHICAGO, IL 60659-4017
(773) 275-8630
(773) 275-8635
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
036.065523
IL
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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