Individual
THODUR M RANGANATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7531 S STONY ISLAND AVE, CHICAGO, IL 60649-3954
(773) 947-7900
(773) 947-7901
Mailing address
13290 FOX HILL DR, LEMONT, IL 60439-8194
(630) 257-0885
(630) 257-0875
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036-081441
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-081441
—
IL
Enumeration date
03/14/2006
Last updated
07/27/2016
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