Provider Demographics
NPI:1861805871
Name:NAGARAJU, ARUN
Entity type:Individual
Prefix:DR
First Name:ARUN
Middle Name:
Last Name:NAGARAJU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:DEPARTMENT 4062
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60122-4062
Mailing Address - Country:US
Mailing Address - Phone:316-685-2371
Mailing Address - Fax:706-653-1230
Practice Address - Street 1:5841 S. MARYLAND AVE. SUITE MC2026
Practice Address - Street 2:UNIVERSITY OF CHICAGO
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1448
Practice Address - Country:US
Practice Address - Phone:773-702-3550
Practice Address - Fax:773-834-6237
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361483852085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology