Organization
RAVINDRANATH K SANSGUIRI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDRANATH K SANSGUIRI MD (MD)
(630) 323-2010
Entity
Organization
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-1000
Mailing address
8180 LAKE RIDGE DR, BURR RIDGE, IL 60527-5975
(630) 323-2010
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036048838
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036048838
—
IL
01
—
21605992
BCBS
IL
Enumeration date
09/14/2006
Last updated
05/04/2010
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