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DR. AVTAR K RAZDAN I M.D.
NPI 1376536615
Pediatrics - Adolescent Medicine in Bourbonnais, IL

Active since August 23, 2005
475 BROWN BLVD, SUITE 102, BOURBONNAIS, IL 60914(815) 939-0003(815) 935-4908 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Avtar K Razdan I M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AVTAR K RAZDAN I M.D. (NPI 1376536615) is an individual adolescent medicine provider in Bourbonnais, Illinois, licensed in Illinois (036048822) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1376536615
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameDR. AVTAR K RAZDAN ICredential: M.D.
Location Address475 BROWN BLVD, SUITE 102Bourbonnais, IL 60914-2325
Mailing Address475 Brown Blvd, Suite 102Bourbonnais, IL 60914-2325 · (815) 939-0003 · Fax (815) 935-4908
Phone(815) 939-0003
Fax(815) 935-4908
Sole ProprietorYes
Enumeration DateAugust 23, 2005
Last NPPES UpdateSeptember 28, 2012
✔ NPI 1376536615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License✔ Licensed in IL · 036048822
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
475 BROWN BLVD, Bourbonnais, IL 60914
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Other Identifiers 3

Medicare UPINE38546IL
Other04607499IL · Blue Cross Blue Shield
Medicaid036048822IL

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TOWER PLAZA NEUROLOGY SC
Psychiatry & Neurology (Neurology)
475 BROWN BLVD, SUITE 101
BOURBONNAIS, IL 60914
Kankakee County (815) 939-7421
MICHAEL JOHN SERGEANT SR. M.D.
Psychiatry & Neurology (Neurology)
475 BROWN BLVD, SUITE 101
BOURBONNAIS, IL 60914
Kankakee County (815) 939-7421
DR. JENNIFER PABLO NEPOMUCENO M.D.
Family Medicine
475 BROWN BLVD, SUITE 106
BOURBONNAIS, IL 60914
Kankakee County (815) 937-8786
DR. REYNALDO ELAZEGUI NEPOMUCENO M.D.
Family Medicine
475 BROWN BLVD, SUITE 106
BOURBONNAIS, IL 60914
Kankakee County (815) 937-8786
RETINA OF ILLINOIS, S.C.
Ophthalmology
475 BROWN BLVD, SUITE 109
BOURBONNAIS, IL 60914
Kankakee County (815) 802-2090
RIVERVIEW PHARMACIES INC
Pharmacy (Community/Retail Pharmacy)
475 BROWN BLVD, SUITE 105
BOURBONNAIS, IL 60914
Kankakee County (815) 933-1735
FIVE APPLES INPATIENT SPECIALISTS
Internal Medicine
475 BROWN BLVD, STE 103
BOURBONNAIS, IL 60914
Kankakee County (815) 937-7962
DR. DAVID SCOTT CHUDWIN M.D.
Allergy & Immunology
475 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (815) 933-5092

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avtar Razdan's NPI number?

The NPI number for Avtar Razdan is 1376536615. It was assigned to this individual provider in the NPPES registry on August 23, 2005.

Where is Avtar Razdan located?

Avtar Razdan practices at 475 Brown Blvd Suite 102, Bourbonnais, IL 60914. The listed phone number is (815) 939-0003.

What is Avtar Razdan's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Avtar Razdan was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.