Individual
DR. RAGHU RAMADURAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2222 W DIVISION ST, STE 300, CHICAGO, IL 60622-2717
(773) 342-3333
(773) 342-3334
Mailing address
PO BOX 798, PARK RIDGE, IL 60068-0798
(847) 692-6218
(847) 692-5609
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036069286
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360692861
—
IL
01
—
K08920
MED CORP
—
Enumeration date
08/01/2006
Last updated
03/19/2008
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