# RAMV RUDRA INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A & V MEDICAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104231364
- **Authorized official:** DR. MANISH PANDYA DC (PRESIDENT)
- **Authorized official phone:** (630) 965-2225

## Contact information

- **Practice address:** 908 N ELM ST STE 109, HINSDALE, IL 60521-2602
- **Practice address phone:** (630) 965-2225
- **Practice address fax:** (708) 452-1444
- **Mailing address:** 571 N 6TH AVE, ADDISON, IL 60101-1318
- **Mailing address phone:** (630) 965-2225
- **Mailing address fax:** (708) 452-1444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | IL | Yes |

## Other

- **Enumeration date:** 06/26/2014
- **Last updated:** 06/26/2014