| Ravinia Medical Ltd | |
|
9641 W 153rd St Suite 48 Orland Park IL 60462-3775 | |
| (708) 403-0431 | |
| Not Available |
| Full Name | Ravinia Medical Ltd |
|---|---|
| Speciality | Internal Medicine |
| Location | 9641 W 153rd St, Orland Park, Illinois |
| Authorized Official Name and Position | Rodolfo J Mejicano (OWNER / PHYSICIAN) |
| Authorized Official Contact | 7084030431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ravinia Medical Ltd 9641 W 153rd St Suite 48 Orland Park IL 60462-3775 Ph: () - | Ravinia Medical Ltd 9641 W 153rd St Suite 48 Orland Park IL 60462-3775 Ph: (708) 403-0431 |
| NPI Number | 1356397806 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 12/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356397806 | NPI | - | NPPES |
| 0001628037 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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