Individual
DR. RANJANA NATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 E CONGRESS PKWY, STE E, CRYSTAL LAKE, IL 60014-6284
(815) 477-1555
Mailing address
350 E CONGRESS PKWY, STE E, CRYSTAL LAKE, IL 60014-6284
(815) 477-1555
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-096681
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096681 1
—
IL
01
—
NATHRAN
MERCYCARE INSURANCE
WI
Enumeration date
12/05/2006
Last updated
01/16/2013
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