Individual provider · Type 1 NPI

Ajit Raghavan

Physician Assistant · Chicago, IL

NPI number 1053217414 Active

Practice location

3567 W Belden Ave Apt 2
Chicago, IL 60647-7756

Call (248) 402-3443 Map

Mailing address

3567 W Belden Ave
Chicago, IL 60647-7756

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1053217414

Ajit Raghavan's National Provider Identifier is 1053217414, issued on Oct 14, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 16, 2026.