Basic Information
| Provider Information | |||||||||
| NPI: | 1861805871 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | NAGARAJU | ||||||||
| FirstName: | ARUN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEPARTMENT 4062 | ||||||||
| Address2: | |||||||||
| City: | CAROL STREAM | ||||||||
| State: | IL | ||||||||
| PostalCode: | 601224062 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3166852371 | ||||||||
| FaxNumber: | 7066531230 | ||||||||
| Practice Location | |||||||||
| Address1: | 5841 S. MARYLAND AVE. SUITE MC2026 | ||||||||
| Address2: | UNIVERSITY OF CHICAGO | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 606371448 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7737023550 | ||||||||
| FaxNumber: | 7738346237 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2014 | ||||||||
| LastUpdateDate: | 06/22/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2085R0202X | 036148385 | IL | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.