Individual
RAD GHARAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6551 NORTH AVE, OAK PARK, IL 60302-1020
(708) 790-5200
(708) 524-2104
Mailing address
6551 NORTH AVE, OAK PARK, IL 60302-1020
(708) 790-5200
(708) 524-2104
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36-103322
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3643828866061502
—
IL
Enumeration date
08/31/2006
Last updated
09/13/2024
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