Raghuvansh Kumar M D S C

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

036099114 Issued in IL

Legal business name

RAGHUVANSH KUMAR M D S C

Practice address

20303 Crawford Ave Ste 120
Olympia Fields, IL 60461-1173

Phone

(708) 709-6929

NPI assigned

Jun 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Raghuvansh Kumar, M.D

Title

President

Phone

(312) 307-2561

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RAGHUVANSH KUMAR M D S C Former legal business name

Locations

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

{
    "created_epoch": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1700013166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8161 RIDGEPOINT DRIVE",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-655-8805",
            "fax_number": "630-655-8827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20303 CRAWFORD AVE STE 120",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611173",
            "telephone_number": "708-709-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAGHUVANSH KUMAR M D S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-22",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "RAGHUVANSH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-307-2561",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "036099114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036099114",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAGHUVANSH KUMAR M D S C",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "RAGHUVANSH KUMAR M D S C",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Samuel F Rabor Jr., D.O.
• Radiation Oncology, SC
• Janeen R Radwan
• Sidra Rafi
• Sushma M. Raghavendra, M.D.
• Nasiha Amina Rahman, DO
• Garud Ranga Raj, M.D.
• Sabrina Ramahi, DMD
• Nikkolou Francis Rivera Ramirez, MD
• Silvia Ramzy

• Physical Medicine & Rehabilitation Physician in Olympia Fields, IL
• Providers in Olympia Fields, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.