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
Phone: (847) 990-2135
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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