Individual
DR. MADHAV VIJAY RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1634 W POLK ST, CHICAGO, IL 60612-4352
(312) 423-4200
Mailing address
210 S DESPLAINES ST, CHICAGO, IL 60661-5500
(773) 654-2700
(773) 654-9930
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
36115306
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115306
—
IL
Enumeration date
10/30/2007
Last updated
11/22/2024
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