Healthcare Provider Details

I. General information

NPI: 1023873841
Provider Name (Legal Business Name): RPAV MANAGEMENT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2024
Last Update Date: 02/20/2024
Certification Date: 02/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1157 LEE ST STE B
DES PLAINES IL
60016
US

IV. Provider business mailing address

1157 LEE ST STE B
DES PLAINES IL
60016
US

V. Phone/Fax

Practice location:
  • Phone: 708-452-6842
  • Fax:
Mailing address:
  • Phone: 708-452-6842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MANISH PANDYA
Title or Position: OWNER
Credential:
Phone: 773-317-4888