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Individual
DR. DEENA G RAVAL
Active
Individual
DR. DEENA G RAVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125051090
IL
207RR0500X
Rheumatology Physician
Primary
036122342
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036122342
—
IL
Enumeration date
11/14/2007
Last updated
05/02/2017
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