Individual
DR. SHILPA RAVELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4309 W MEDICAL CENTER DR STE B202, MCHENRY, IL 60050-8417
(847) 535-6083
(815) 455-2789
Mailing address
622 W 168TH ST PH 14-105K, NEW YORK, NY 10032-3720
(212) 305-9073
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1420281014
IN
207RG0100X
Gastroenterology Physician
Primary
036126108
IL
207RG0100X
Gastroenterology Physician
280104
NY
207RG0100X
Gastroenterology Physician
MD-22227
HI
Other
Enumeration date
05/18/2008
Last updated
07/22/2025
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