Dr. Avtar K Razdan I
M.D. | Pediatric Adolescent Medicine | Male
Dr. Avtar K Razdan I, M.D. is a Bourbonnais, Illinois based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Avtar K Razdan I is
475 Brown Blvd, Suite 102, Bourbonnais, Illinois - 60914-2325. He can be contacted on phone at
815-939-0003 and fax number 815-935-4908.
Dr. Avtar K Razdan I is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Avtar K Razdan I is
1376536615 which was assigned by NPPES on 23 Aug, 2005 and it was last updated on 28 Sep, 2012.
Dr. Avtar K Razdan I license number is
036048822 for Pediatrics Adolescent Medicine (2080A0000X) in Illinois.
Dr. Avtar K Razdan I specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Avtar K Razdan I basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Avtar K Razdan I |
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| Credential : | M.D. |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Avtar K Razdan I address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 475 Brown Blvd, Suite 102
Bourbonnais, IL, 60914-2325
United States |
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| Phone Number : | 815-939-0003 |
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| Fax Number : | 815-935-4908 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1376536615 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 23 Aug, 2005 |
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| Last Updated On : | 28 Sep, 2012 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Avtar K Razdan I are as mentioned. Primary taxonomy code for Dr. Avtar K Razdan I, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 036048822 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Avtar K Razdan I such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 04607499 | Other | IL | BLUE CROSS BLUE SHIELD |
| 036048822 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 475 Brown Blvd, Suite 102
Bourbonnais, IL, 60914-2325
United States |
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| Phone Number : | 815-939-0003 |
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| Fax Number : | 815-935-4908 |
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Business Location:
Patients can refer following map for directions to
Dr. Avtar K Razdan I practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.