Thunga, Raghavender

Thunga, Raghavender is an individual health care provider with primary practice located at 801 S Milwaukee Ave , Libertyville IL 60048-3204. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Thunga, Raghavender can be contacted via phone (847) 990-2135.

Contact Information

Primary practice address
801 S Milwaukee Ave Libertyville IL 60048-3204
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 036095096 Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036095096 Illinois

Profile Details

NPI number 1437124054
LBN Legal business name Thunga, Raghavender
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jun 26th, 2024 - about 6 months 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 1437124054 NPPES
Illinois Other 0004930110 BCBS
Illinois Other 050080729 BCBS
Illinois Other 111282 BCBS
Illinois MEDICAID 036095096 BCBS

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