| Ravinia Healthcare Inc | |
|
15030 S Ravinia Ave Ste 38 Orland Park IL 60462-3258 | |
| (847) 215-9200 | |
| Not Available |
| Full Name | Ravinia Healthcare Inc |
|---|---|
| Speciality | Family Medicine - Adolescent Medicine |
| Location | 15030 S Ravinia Ave Ste 38, Orland Park, Illinois |
| Authorized Official Name and Position | Lana Moshkovich (CMM, CPC, CEMC) |
| Authorized Official Contact | 8479047500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravinia Healthcare Inc 15030 S Ravinia Ave Ste 38 Orland Park IL 60462-3258 Ph: () - | Ravinia Healthcare Inc 15030 S Ravinia Ave Ste 38 Orland Park IL 60462-3258 Ph: (847) 215-9200 |
| NPI Number | 1811126733 |
|---|---|
| Provider Enumeration Date | 07/13/2009 |
| Last Update Date | 07/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811126733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0000X | Family Medicine - Adolescent Medicine | (* (Not Available)) | Primary |
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