Individual
DR. PRASANNA RAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5225
Mailing address
4646 N MARINE DR FL 7, CHICAGO, IL 60640-5759
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
125.079658
IL
Other
Enumeration date
07/01/2022
Last updated
07/16/2025
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