Ravadee Inphom is a Geriatrics in Wilmette, Illinois. Ravadee Inphom practices all healthcare services and medical treatments related to Geriatrics. The NPI Number for Ravadee Inphom is 1588737969. The last update date is 2007-07-08.
Ravadee Inphom's current location address is 3512 Greenwood Ave, Wilmette, Illinois. You can contact this provider via phone number 8472511231 and fax number 8472511231. The mailing address for Ravadee Inphom is 3512 Greenwood Ave, Wilmette, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ravadee Inphom |
|---|---|
| Address | 3512 Greenwood Ave, Wilmette, Illinois |
| Phone Number | 8472511231 |
| Fax Number | 8472511231 |
| Sole Proprietor | N |
| Credentials | P.T. |
NPI Number Detail
| NPI Number | 1588737969 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3512 Greenwood Ave |
|---|---|
| City | Wilmette |
| State | Illinois (IL) |
| Post Code | 600911010 |
| Phone Number | 8472511231 |
| Fax Number | 8472511231 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatrics |
|---|---|
| Taxonomy | 2251G0304X |
|
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evid |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| K25343 | IL | PHYSICAL THERAPIST |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Ravadee Inphom by the Centers for Medicare & Medicaid Services?
The Ravadee Inphom has been assigned the NPI (National Provider Identifier) 1588737969 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Ravadee Inphom is located?
The Ravadee Inphom is situated at the following address: 3512 Greenwood Ave, Wilmette, IL, 600911010.
What is Ravadee Inphom's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ravadee Inphom is Geriatrics, and the corresponding taxonomy classification code for this specialized field is 2251G0304X.
On what date did the Centers for Medicare & Medicaid Services issue the 1588737969 to Ravadee Inphom?
The Ravadee Inphom received its 1588737969 assignment from the Centers for Medicare & Medicaid Services on 2006-11-16.
As of what date was the information pertaining to Ravadee Inphom, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ravadee Inphom, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.