Individual
BASUNDHARA RAJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
102 W SHORE TER, HILLSBORO, IL 62049-3208
(217) 602-8534
Mailing address
102 W SHORE TER, HILLSBORO, IL 62049-3208
(217) 602-8534
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
09/02/2025
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