Search › Illinois › 103T00000X
Rajkumar Periasamy
NPI 1013472752 · on the registry since 2019 · sole proprietor
Practice
- Address
- 666 Dundee Rd Ste 708
Northbrook, IL 60062 - Phone
- (312) 900-8642
- Organisation at this address
- Kelly Gorz Llc
Elena Koles, M.D.
Md Infusions, Pllc
Medstream Corporation
Healthy ConstellationsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 57
Additional practice sites
- 517 Deltona Blvd Ste A, Deltona, FL
- 1011 W Wellington Ave Ste 210, Chicago, IL
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-08-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois