Organization
RAVISHANKAR SERVICE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NARAYANARAO RAVISHANKAR M.D (PRESIDENT)
(630) 926-3096
Entity
Organization
Contact information
Practice address
912 SAINT STEPHENS GRN, OAK BROOK, IL 60523-2568
(630) 926-3096
Mailing address
912 SAINT STEPHENS GRN, OAK BROOK, IL 60523-2568
(630) 926-3096
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036077082
IL
Other
Enumeration date
10/10/2008
Last updated
10/10/2008
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