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Organization
RAVENSWOOD PEDIATRICS SC
Active
Organization
RAVENSWOOD PEDIATRICS SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD J OCHS M.D. (OWNER)
(872) 208-6257
Entity
Organization
Contact information
Practice address
1945 W WILSON AVE STE 6116, CHICAGO, IL 60640
(872) 208-6257
Mailing address
1945 W WILSON AVE STE 6116, CHICAGO, IL 60640-5259
(872) 208-6257
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036065805
IL
Other
Enumeration date
08/01/2013
Last updated
06/04/2018
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