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NPI Code Detail

MEDICARE: RAVEE NINGSANOND

MEDICARE: RAVEE NINGSANOND
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1183500000XPharmacist051.288995IL

General Provider Information

NPI Number : 1427943455
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAVEE NINGSANOND
Provider Business Mailing Address
First Line : 3910 W OGDEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60623-2470
Country : US
Telephone Number : 872-588-3250
Fax Number : 872-588-3251
Provider Business Practice Location Address
First Line : 3910 W OGDEN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60623-2470
Country : US
Telephone Number : 872-588-3250
Fax Number : 872-588-3251
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2025
Last Update Date : 06/10/2025

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Directions to “ RAVEE NINGSANOND ” Practice Location

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