Individual
DR. RAVICHAI NIKRODHANOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5TH & ROOSEVELT, HINES, IL 60141
(708) 202-2169
Mailing address
13115 RADO DR N, HOMER GLEN, IL 60491-8146
(708) 301-0628
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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