MEDICARE: MR. RAJAGOPALA SWAMINATHAN 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	207N00000X	Dermatology Physician	036052561	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	070002088	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0004006893	OTHER		AETNA
2	036052561001	OTHER		OSF HEALTHPLANS INC
3	37122730101	OTHER		JOHN DEERE HEALTH CARE
5	3712273010002	OTHER		CIGNA HEALTHCARE
6	563285	OTHER	IL	HEALTHLINK
7	7200602	OTHER	IL	BLUE CROSS BLUE SHIELD IL
8	C619811	OTHER		UNITED AMER INSURANCE CO

General Provider Information

NPI Number	:	1528008414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAJAGOPALA SWAMINATHAN MD

Provider Business Mailing Address
First Line	:	3024 E EMPIRE ST STE E
Second Line	:
City	:	BLOOMINGTON
State	:	IL
Zip	:	61704-5402
Country	:	US
Telephone Number	:	309-451-3376
Fax Number	:	309-452-3376

Provider Business Practice Location Address
First Line	:	3024 E EMPIRE ST STE EANDF
Second Line	:
City	:	BLOOMINGTON
State	:	IL
Zip	:	61704-5402
Country	:	US
Telephone Number	:	309-451-3376
Fax Number	:	309-452-3376

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

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	06/11/2019

Similar Medicare Providers

1447737358 — JUAN RAFAEL MENDOZA ORTIZ MD
Practice Location Address:

3024 E EMPIRE ST FL 3
BLOOMINGTON, IL
61704-5402

Practice Phone: 309-556-7700
Practice Fax: 309-556-7775

1679510804 — MADHUMITA CHATTERJEE MD
Practice Location Address:

3024 E EMPIRE ST STE 3A
BLOOMINGTON, IL
61704-5402

Practice Phone: 309-556-7700
Practice Fax:

1508881491 — LAWRENCE SPLITTER D.O.
Practice Location Address:

3024 E EMPIRE ST STE 3A
BLOOMINGTON, IL
61704-5402

Practice Phone: 309-556-7775
Practice Fax:

1790996890 — DR. WYNN HUGH KAO M.D., PH.D.
Practice Location Address:

3024 E EMPIRE ST , STE E & F
BLOOMINGTON, IL
61704-5402

Practice Phone: 309-451-3376
Practice Fax: 309-452-3376

1982800876 — SASIKALA ROYYURU MD
Practice Location Address:

3024 E EMPIRE ST
BLOOMINGTON, IL
61704-5402

Practice Phone: 309-556-7700
Practice Fax:

1942484233 — MS. ELIZABETH BISCHOFF PT
Practice Location Address:

3024 E EMPIRE ST FL 2
BLOOMINGTON, IL
61704-5402

Practice Phone: 309-556-7800
Practice Fax:

Directions to “ MR. RAJAGOPALA SWAMINATHAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.