Active NPI
Gopal Teralandur Raghunath, PT, MS, DPT, CSCS
- Specialist
- Buffalo Grove, IL
National Provider Identifier
1073635777
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 070013042
- Practice address
- 125 E Lake Cook Rd
Suite 209
Buffalo Grove, IL 60089-4356 - Phone
- (847) 520-3382
- Fax
- (847) 520-3404
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 070013042 | IL | Primary |
Addresses
Primary practice location
125 E Lake Cook Rd
Suite 209
Buffalo Grove, IL 60089-4356
Mailing address
125 E Lake Cook Rd
Ste. 209
Buffalo Grove, IL 60089-4356
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fit for Life Rehab and Fitness Clinic, Inc. | Current | Accepting new patients | |
| Spring Grove Medical Offices LTD | Past | Accepting new patients | |
| Chicago Functional Neurology Group, LTD. | Past | Accepting new patients | |
| First Health Assocates, SC | Past | Accepting new patients | |
| Addison Physical Medicine and Rehabilitation Center LTD. | Past | Accepting new patients |
Locations
611 Rockland Rd
Ste 105
Lake Bluff, IL 60044
Phone (847) 234-4847
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Lake Bluff, IL
- NPI 1417179979
-
- Chiropractor
- Wood Dale, IL
- NPI 1407853393
-
- Chiropractor
- Chicago, IL
- NPI 1053814814
-
- Chiropractor
- Arlington Heights, IL
- NPI 1851498315
-
- Chiropractor
- Spring Grove, IL
- NPI 1740332592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1073635777",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 E LAKE COOK RD",
"address_2": "STE. 209",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 E LAKE COOK RD",
"address_2": "SUITE 209",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600894356",
"telephone_number": "847-520-3382",
"fax_number": "847-520-3404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAGHUNATH",
"first_name": "GOPAL",
"middle_name": "TERALANDUR",
"name_prefix": "Mr.",
"credential": "PT, MS, DPT, CSCS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "070013042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.