Prutha Rajyaguru, PA-C

NPI 1306396700 · on the registry since 2016

Practice

Address: 12255 S 80th Ave Ste 203
Palos Heights, IL 60463
Phone: (708) 827-2021
Fax: (708) 827-2241
Organisation at this address: Janis A Gumpel Md Sc
Midwest Environmental Medicine Pc
Professsional Health Associates Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 51

Registry record

Primary taxonomy: 363A00000X
363A00000X
Also registered as: 363A00000X
363A00000X
Licence states on file: CA, IN, IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-06-05

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