Provider Demographics
NPI:1285630079
Name:CHOKSI, RAJENDRA M (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJENDRA
Middle Name:M
Last Name:CHOKSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:6728 LAKEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:WOODRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60517-1437
Mailing Address - Country:US
Mailing Address - Phone:815-726-0311
Mailing Address - Fax:815-726-0520
Practice Address - Street 1:300 N OTTAWA ST
Practice Address - Street 2:
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60432-4009
Practice Address - Country:US
Practice Address - Phone:815-726-0311
Practice Address - Fax:815-726-0520
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-26
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL0360520042080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent Medicine