Provider Demographics
NPI:1962622894
Name:NATARAJAN, SESHAN (MD)
Entity type:Individual
Prefix:DR
First Name:SESHAN
Middle Name:
Last Name:NATARAJAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1640 BALMORAL CIR
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:IL
Mailing Address - Zip Code:60067-4719
Mailing Address - Country:US
Mailing Address - Phone:847-991-2855
Mailing Address - Fax:
Practice Address - Street 1:1640 BALMORAL CIR
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:IL
Practice Address - Zip Code:60067-4719
Practice Address - Country:US
Practice Address - Phone:847-991-2855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-44893207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL4953664002-8OtherAMA #
IL4953664002-8OtherAMA #