Individual
JUSTIN TODD RAMZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2028 E RIVERSIDE BLVD, LOVES PARK, IL 61111-4804
(815) 282-5300
Mailing address
4140 OLD GOLF RD, LOVES PARK, IL 61111-7630
(815) 988-9885
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210693
MEDICARE GROUP NUMBER
IL
Enumeration date
01/15/2007
Last updated
10/25/2007
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