NPI 1114145588

Ravenswood Physician Associates

Organisation Health Maintenance Organization Chicago, IL

Practice location

Address: 4100 N Lincoln Ave, Chicago, IL 60618-3028
Phone: (773) 868-2000
Fax: (773) 248-6659

Authorised official

Name: Damon V Morse
Title: President and Ceo
Phone: (773) 868-2004

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1114145588
Entity type: Organization
NPI issued: 23 Apr 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.