MEDICARE: DR. RAJIV K SOOD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	036-111523	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11686055	OTHER		CAQH
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	3758-001	OTHER	IL	PTAN

General Provider Information

NPI Number	:	1699738351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJIV K SOOD MD

Provider Business Mailing Address
First Line	:	1585 BARRINGTON RD
Second Line	:	DOCTORS BUILDING 2 - SUITE 501
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1090
Country	:	US
Telephone Number	:	847-490-8900
Fax Number	:	847-490-8999

Provider Business Practice Location Address
First Line	:	1585 BARRINGTON RD
Second Line	:	DOCTORS BUILDING 2 - SUITE 501
City	:	HOFFMAN ESTATES
State	:	IL
Zip	:	60169-1090
Country	:	US
Telephone Number	:	847-490-8900
Fax Number	:	847-490-8999

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	10/21/2014

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