Organization
RAGHU RAMADURAI, M.D SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGHU RAMADURAI M.D. (PRESIDENT)
(847) 692-6218
Entity
Organization
Contact information
Practice address
2222 W DIVISION ST, SUITE 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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360692861
—
IL
Enumeration date
08/19/2006
Last updated
03/25/2008
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