Rajneesh Salwan MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036093899 Issued in IL

Legal business name

RAJNEESH SALWAN MD SC

Practice address

2850 W 95TH St
304
Evergreen Park, IL 60805-2735

Phone

(708) 636-2770

Fax

(708) 423-9234

NPI assigned

May 30, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Rajneesh Salwan, M.D.

Title

President

Phone

(708) 636-2770

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411344000000",
    "number": "1043411556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2224 DONEGAL DR",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605618462",
            "telephone_number": "708-636-2770",
            "fax_number": "708-423-9234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST",
            "address_2": "304",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052735",
            "telephone_number": "708-636-2770",
            "fax_number": "708-423-9234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJNEESH SALWAN MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-30",
        "last_updated": "2014-09-22",
        "status": "A",
        "authorized_official_last_name": "SALWAN",
        "authorized_official_first_name": "RAJNEESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-636-2770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036093899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036093899",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.