Individual
DR. MAHESH RAMACHANDRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3450 SARATOGA AVENUE, DOWNERS GROVE, IL 60187
(630) 969-9360
(630) 969-9348
Mailing address
26W171 ROOSEVELT ROAD, WHEATON, IL 60187
(630) 909-7000
(630) 909-7001
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036096303
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02215324
BCBS
IL
05
—
036096303
—
IL
Enumeration date
01/11/2007
Last updated
02/05/2018
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