Provider Demographics
NPI:1023081734
Name:TEJI, RANJIT KAUR (MD)
Entity type:Individual
Prefix:DR
First Name:RANJIT
Middle Name:KAUR
Last Name:TEJI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 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:773-523-9550
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
Is Sole Proprietor?:No
Enumeration Date:2006-02-12
Last Update Date:2020-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-086225208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-086225Medicaid