Healthcare Provider Details

I. General information

NPI: 1669486635
Provider Name (Legal Business Name): VRAJ, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2006
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2315 E 93RD ST STE 237
CHICAGO IL
60617-3919
US

IV. Provider business mailing address

10547 MISTY HILL RD
ORLAND PARK IL
60462-7439
US

V. Phone/Fax

Practice location:
  • Phone: 847-768-8925
  • Fax:
Mailing address:
  • Phone: 219-852-0197
  • Fax: 219-937-2195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: NARESH K UPADHYAY
Title or Position: OWNER
Credential: MD
Phone: 219-852-0197