Vinitha Raghavan
Nephrologist
3358 W 95th St
Evergreen Park
, Illinois 60805-2236
Vinitha Raghavan
Nephrologist
3358 W 95th St
Evergreen Park
, Illinois 60805-2236
(312) 654-9930
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About
Features
Specialties
- Nephrologist
Languages spoken
- English
Location
First Address
- Vinitha Raghavan
- 210 S Desplaines St
- Chicago, IL
- Zip : 60661-5500
- Fax : (312) 654-9930
- Phone : (312) 654-2700
Second Address
- Vinitha Raghavan
- 3358 W 95th St
- Evergreen Park, IL
- Zip : 60805-2236
- Fax : (708) 952-3043
- Phone : (708) 952-3040
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RN0300X | Nephrologist | 036-082385 | IL |
| N | 207RN0300X | Nephrologist | 036082385 | IL |
National Provider Identifier
| NPI | 1023097292 |
|---|---|
| Provider Name | Vinitha Raghavan |
| First Address | Chicago, IL 60661-5500 |
| Second Address | Evergreen Park, IL 60805-2236 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/01/2006 |
| Last Update Date | 20/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036082385 | (05) | IL |
| F21139 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.