Individual
DR. R RAJASEKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD SC
Contact information
Practice address
7030 W BELMONT AVE, CHICAGO, IL 60634-4689
(773) 777-1100
(773) 777-8409
Mailing address
7030 W BELMONT AVE, CHICAGO, IL 60634-4689
(773) 777-1100
(773) 777-8409
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036049834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049834
—
IL
Enumeration date
07/06/2006
Last updated
10/08/2015
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