Provider Demographics
NPI:1124291935
Name:RANJIT K. TEJI MD SC
Entity type:Organization
Organization Name:RANJIT K. TEJI MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAGJIT
Authorized Official - Middle Name:S
Authorized Official - Last Name:TEJI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-850-9343
Mailing Address - Street 1:332 HAMBLETONIAN DR
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-2620
Mailing Address - Country:US
Mailing Address - Phone:630-850-9343
Mailing Address - Fax:630-850-9391
Practice Address - Street 1:3344 S HALSTED ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60608-6742
Practice Address - Country:US
Practice Address - Phone:773-523-9550
Practice Address - Fax:773-523-3245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-12
Last Update Date:2008-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL6076-671-1208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty