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Search › Illinois › 208600000X

Rajendra Shrivastav, MD

NPI 1952378309 · on the registry since 2006 · sole proprietor

Practice

Address
1512 W Reynolds St
Ste. B
Pontiac, IL 61764
Phone
(815) 842-3023
Fax
(815) 842-3241
Organisation at this address
Pro Podiatry, Llc
Premier Medical Group, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
207P00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-11

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