Ravinia Medical Ltd

LBN: Ravinia Medical Ltd
Ravinia Medical Ltd is an health care organization with primary practice located at 9641 W 153Rd St Suite 48, Orland Park IL 60462-3775. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Ravinia Medical Ltd can be contacted via phone (708) 403-0431, or through Mejicano, Rodolfo J via phone (708) 403-0431.

Contact Information

Primary practice address
9641 W 153Rd St Suite 48 Orland Park IL 60462-3775
Phone: (708) 403-0431
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mejicano, Rodolfo J Doctor of Medicine (MD)
Phone: (708) 403-0431

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1356397806
LBN Legal business name Ravinia Medical Ltd
DBA Doing business as
Authorized official Mejicano, Rodolfo J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2006
Last updated Dec 6th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356397806 NPPES
Illinois Other 0001628037 BCBS

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