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Organization

RAVENSWOOD PHYSICIAN ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAMON V MORSE (PRESIDENT AND CEO)
(773) 868-2004
Entity
Organization

Contact information

Practice address
4100 N LINCOLN AVE, CHICAGO, IL 60618-3028
(773) 868-2000
(773) 248-6659
Mailing address
4100 N LINCOLN AVE, CHICAGO, IL 60618-3028
(773) 868-2000
(773) 248-6659

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
IL

Other

Enumeration date
04/23/2007
Last updated
08/22/2020
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