Active NPI
Jayanthi Ramadurai MD SC
- Hematology & Oncology Physician
- Burbank, IL
National Provider Identifier
1689686958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- JAYANTHI RAMADURAI MD SC
- Practice address
- 4901 W 79TH St
Suite 2-3
Burbank, IL 60459-1554 - Phone
- (708) 636-1177
- Fax
- (708) 636-8741
- NPI assigned
- Aug 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jayanthi R Ramadurai, MD
- Title
- President/Owner
- Phone
- (847) 692-6218
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | IL | Primary |
Addresses
Primary practice location
4901 W 79TH St
Suite 2-3
Burbank, IL 60459-1554
Mailing address
PO Box 798
Park Ridge, IL 60068-0798
Phone (847) 692-6218
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360738093 | Medicaid | IL | |
| 216-22939 | Other | BC BS |
National Provider Directory
National Provider DirectoryLocations
4901 W 79th St
#35
Burbank, IL 60459
Phone (708) 636-1177
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Burr Ridge, IL
- NPI 1497264782
-
- Hematology & Oncology Physician
- Chicago, IL
- NPI 1083691950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204848000000",
"number": "1689686958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 798",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600680798",
"telephone_number": "847-692-6218",
"fax_number": "847-692-5609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 W 79TH ST",
"address_2": "SUITE 2-3",
"city": "BURBANK",
"state": "IL",
"postal_code": "604591554",
"telephone_number": "708-636-1177",
"fax_number": "708-636-8741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAYANTHI RAMADURAI MD SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-13",
"last_updated": "2008-03-07",
"status": "A",
"authorized_official_last_name": "RAMADURAI",
"authorized_official_first_name": "JAYANTHI",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "847-692-6218",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360738093",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS",
"identifier": "216-22939",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.