SearchIllinois224Z00000X

Raven Fitzpatrick

NPI 1760282008 · on the registry since 2025

Practice

Address
5 Peachtree Ln
Fairview Heights, IL 62208
Phone
(618) 803-0372

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-06-22

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