Individual
ARUNA J RAVANAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2719 N HALSTED ST, C1, CHICAGO, IL 60614-1413
(773) 388-5685
(773) 388-5687
Mailing address
2719 N HALSTED ST, C1, CHICAGO, IL 60614-1413
(773) 388-5685
(773) 388-5687
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036-066459
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487875126
NATIONAL PROVIDER IDENTIFIER
CA
Enumeration date
05/01/2007
Last updated
05/23/2012
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