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Individual

DR. ALPA BHANU RAVAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-4415
(224) 610-4455
Mailing address
1620 34TH AVE, KENOSHA, WI 53144-3332
(262) 515-5144

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
36113975
IL
207L00000X
Anesthesiology Physician
47550
WI

Other

Enumeration date
08/23/2006
Last updated
07/08/2007
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