Organization Active NPI

Jayanthi Ramadurai MD SC

  • Hematology & Oncology Physician
  • Burbank, IL
National Provider Identifier
1689686958
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
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

Updated by the provider on Mar 7, 2008

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)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0360738093MedicaidIL
216-22939OtherBC BS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.