Individual
RAJENDRA SHRIVASTAV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1512 W REYNOLDS ST, STE. B, PONTIAC, IL 61764-9781
(815) 842-3023
(815) 842-3241
Mailing address
1512 W REYNOLDS ST, STE. B, PONTIAC, IL 61764-9781
(815) 842-3023
(815) 842-3241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
IL
208600000X
Surgery Physician
Primary
—
IL
Other
Enumeration date
03/03/2006
Last updated
09/11/2025
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