Individual
SANJEEV KUMAR PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20060 GOVERNORS DR STE 100, OLYMPIA FIELDS, IL 60461-1029
(708) 821-7794
Mailing address
15538 ROYAL GLEN CT, ORLAND PARK, IL 60467-4577
(708) 821-7794
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036-120607
IL
2086S0129X
Vascular Surgery Physician
Primary
036-120607
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01618941
BCBS
IL
05
—
036120607
—
IL
05
—
200913040B
—
IN
Enumeration date
05/01/2008
Last updated
09/04/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us