Krishna Ravella, MD | |
24600 W 127th St, Plainfield, IL 60585-9507 | |
(630) 646-7000 | |
(630) 548-1563 |
Full Name | Krishna Ravella |
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Gender | Male |
Speciality | Orthopaedic Surgery - Hand Surgery |
Location | 24600 W 127th St, Plainfield, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457855199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 036169302 (Illinois) | Secondary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | 036169302 (Illinois) | Primary |
Entity Name | Endeavor Health Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Krishna Ravella, MD 2650 Ridge Ave., Suite 1223, Evanston, IL 60201-1718 Ph: (847) 570-2040 | Krishna Ravella, MD 24600 W 127th St, Plainfield, IL 60585-9507 Ph: (630) 646-7000 |
Dr. Raghu R Pulluru, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24600 W 127th St, Suite 225, Plainfield, IL 60585 Phone: 630-790-1872 | |
Dr. David Michael Burt, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 24600 W 127th St, Building B, Suite 240, Plainfield, IL 60585 Phone: 815-267-8825 Fax: 815-267-8840 | |
John Moon, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 24600 W 127th St, Plainfield, IL 60585 Phone: 630-646-7000 |