Organization
RAVINIA HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANA MOSHKOVICH (CMM, CPC, CEMC)
(847) 904-7500
Entity
Organization
Contact information
Practice address
15030 S RAVINIA AVE STE 38, ORLAND PARK, IL 60462-3258
(847) 215-9200
Mailing address
15030 S RAVINIA AVE STE 38, ORLAND PARK, IL 60462-3258
Taxonomy
Speciality
Code
Description
License number
State
207QA0000X
Adolescent Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
07/13/2009
Last updated
07/13/2009
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