MEDICARE: DR. ANTANAS G RAZMA 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	036066208	IL
2	207RP1001X	Pulmonary Disease Physician	036066208	IL
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036066208	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265413454
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTANAS G RAZMA MD

Provider Business Mailing Address
First Line	:	1901 S MEYERS RD STE 410B
Second Line	:
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-5243
Country	:	US
Telephone Number	:	630-634-9340
Fax Number	:

Provider Business Practice Location Address
First Line	:	1901 S MEYERS RD STE 410B
Second Line	:
City	:	OAKBROOK TERRACE
State	:	IL
Zip	:	60181-5243
Country	:	US
Telephone Number	:	630-634-9340
Fax Number	:

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

Provider Enumeration Date	:	11/07/2005
Last Update Date	:	05/15/2025

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