Healthcare Provider Details
I. General information
NPI: 1982760773
Provider Name (Legal Business Name): RAMJI RAMASWAMY RAJENDRAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/28/2006
Last Update Date: 08/18/2025
Certification Date: 08/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
800 BIESTERFIELD RD SUITE 110
ELK GROVE VILLAGE IL
60007-3361
US
IV. Provider business mailing address
700 COMMERCE DR SUITE 500
OAK BROOK IL
60523-1546
US
V. Phone/Fax
- Phone: 847-981-5760
- Fax: 847-956-5138
- Phone: 847-698-0600
- Fax: 847-698-0601
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | 036-124964 |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: