Individual
AVANTI RAVANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 BIESTERFIELD RD STE 110, ELK GROVE VILLAGE, IL 60007-3393
(630) 999-8227
Mailing address
901 BIESTERFIELD RD STE 110, ELK GROVE VILLAGE, IL 60007-3393
(630) 999-8227
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
IL
Other
Enumeration date
12/22/2022
Last updated
12/22/2022
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