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Individual

RAVI RAMAKRISHNA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
430 WARRENVILLE RD STE 110, LISLE, IL 60532-1348
(630) 946-2020
(630) 432-6754
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036135706
IL
2085R0202X
Diagnostic Radiology Physician
125.056122
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036135706
IL
Enumeration date
05/28/2009
Last updated
08/17/2023
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