Provider Demographics
NPI:1760445654
Name:KAPOOR, RAJEEV (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:RAJEEV
Middle Name:
Last Name:KAPOOR
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 TELSER RD # 1057
Mailing Address - Street 2:
Mailing Address - City:LAKE ZURICH
Mailing Address - State:IL
Mailing Address - Zip Code:60047-3647
Mailing Address - Country:US
Mailing Address - Phone:847-847-1393
Mailing Address - Fax:224-649-5303
Practice Address - Street 1:25 TELSER RD # 1057
Practice Address - Street 2:
Practice Address - City:LAKE ZURICH
Practice Address - State:IL
Practice Address - Zip Code:60047-3647
Practice Address - Country:US
Practice Address - Phone:847-847-1393
Practice Address - Fax:224-649-5303
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-120033207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036120033Medicaid
IL036120033Medicaid