Sundaram, Ravi K
Sundaram, Ravi K is an individual health care provider with primary practice located at 20303 Crawford Ave Ste 120 , Olympia Fields IL 60461-1173. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Sundaram, Ravi K can be contacted via phone (708) 983-6060.Contact Information
Primary practice address
20303 Crawford Ave Ste 120
Olympia Fields IL 60461-1173
Phone: (708) 983-6060
Fax: (708) 747-6911
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 36113457 | Illinois |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 36113457 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036113457 | Illinois |
Profile Details
| NPI number | 1811040595 |
|---|---|
| LBN Legal business name | Sundaram, Ravi K |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 18th, 2007 |
| Last updated | Jul 9th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811040595 | NPPES |
| Illinois | MEDICAID | 036113457 |
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