Rajendran, Kavitha

Rajendran, Kavitha is an individual health care provider with primary practice located at 5851 W. 95Th Street Suite 300, Oak Lawn IL 60453. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rajendran, Kavitha can be contacted via phone (708) 499-9980.

Contact Information

Primary practice address
5851 W. 95Th Street Suite 300 Oak Lawn IL 60453
Fax: (708) 499-6203
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.006373 Illinois

Profile Details

NPI number 1124538301
LBN Legal business name Rajendran, Kavitha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2017
Last updated Nov 1st, 2018 - about 6 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 1124538301 NPPES
Illinois Other 4111771 IDFPR

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