Jayashree R. Raju, D.o., P.c. | |
1616 W Algonquin Rd Hoffman Estates IL 60192-1587 | |
(847) 221-2900 | |
(847) 221-5900 |
Full Name | Jayashree R. Raju, D.o., P.c. |
---|---|
Speciality | Internal Medicine |
Location | 1616 W Algonquin Rd, Hoffman Estates, Illinois |
Authorized Official Name and Position | Cindy Roseberry (BILLER) |
Authorized Official Contact | 6235330977 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jayashree R. Raju, D.o., P.c. 1616 W Algonquin Rd Hoffman Estates IL 60192-1587 Ph: (847) 221-2900 | Jayashree R. Raju, D.o., P.c. 1616 W Algonquin Rd Hoffman Estates IL 60192-1587 Ph: (847) 221-2900 |
NPI Number | 1851484679 |
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Provider Enumeration Date | 10/02/2006 |
Last Update Date | 12/04/2011 |
Medicare PECOS PAC ID | 0749437895 |
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Medicare Enrollment ID | O20120824000832 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851484679 | NPI | - | NPPES |
860956590 | Other | IL | 860956590 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 036090272 (Illinois) | Primary |
Provider Name | Jayashree R Raju |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598791170 PECOS PAC ID: 1850369059 Enrollment ID: I20120824000834 |
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