Raghavan, Vinitha

Raghavan, Vinitha is an individual health care provider with primary practice located at 3358 W 95Th St , Evergreen Park IL 60805-2236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Raghavan, Vinitha can be contacted via phone (708) 952-3040.

Contact Information

Primary practice address
3358 W 95Th St Evergreen Park IL 60805-2236
Phone: (708) 952-3040
Fax: (708) 952-3043
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036082385 Illinois
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036-082385 Illinois

Profile Details

NPI number 1023097292
LBN Legal business name Raghavan, Vinitha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Dec 20th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023097292 NPPES
Illinois MEDICAID 036082385

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