STACY M. RAVIV

EVANSTON, IL
NPI1568550499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207RP1001X Internal Medicine, Pulmonary Disease
(Licence: IL  036-113373)
Additional Taxonomies207R00000X Internal Medicine
(Licence: IL  036113373)
207RC0200X Internal Medicine, Critical Care Medicine
(Licence: IL  036113373)
Enumeration Date2006-10-10
Last Update Date2021-02-16
Business Address
Dr. STACY M. RAVIV MD
1000 CENTRAL ST STE 615
EVANSTON, IL 60201-1779
Phone number: 847-570-2714
Mailing Address
Dr. STACY M. RAVIV MD
1000 CENTRAL ST STE 615
EVANSTON, IL 60201-1779
Phone number: 847-570-2714