Individual provider · NPI-1
Aarti Jagdish Raut, M.D.
Pediatrics · Berwyn, IL
NPI number1902813546
StatusActive
Last updated in NPPESOct 23, 2023
Details
- NPI
- 1902813546
- Entity type
- Individual (NPI-1)
- Name
- Aarti Jagdish Raut
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2006
- Certification date
- Oct 23, 2023
- Last updated
- Oct 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 036070024 | IL | Yes |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | 036070024 | IL | |
| 2080N0001X | Pediatrics, Neonatal-Perinatal Medicine | Q1002 | TX | |
| 208M00000X | Hospitalist | 036070024 | IL |
Practice location
3249 Oak Park AveBerwyn, IL 60402-3429
Phone 708-783-9100 · Fax 708-783-2053
Mailing address
1400 W Park StUrbana, IL 61801-2334
Phone 217-337-2229
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