SearchIllinois2085R0202X

Ravi Vassa

NPI 1700298254 · on the registry since 2014

Practice

Address
680 N Lake Shore Dr
Chicago, IL 60611
Phone
(312) 695-6868
Organisation at this address
Androlab
Img Md, Llc
Walgreen Co
Telerapp Inc
Das Group Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
508

Additional practice sites

  • 601 E 15th St, Austin, TX

Registry record

Primary taxonomy
2085R0202X
2085R0202X
Also registered as
2085R0202X
Licence states on file
TX, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-04-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois