Individual
DR. PRADEEP N RAJU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4119 W SHAMROCK LN, MCHENRY, IL 60050-8268
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
036140194
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0114301
—
OH
05
—
036140194
—
IL
Enumeration date
05/30/2012
Last updated
08/11/2023
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