PAUL ANTHONY RAVENNA (NPI# 1124381769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124381769 |
| Entity Type | Individual |
| Full Name | PAUL ANTHONY RAVENNA |
| Credential | M.D. |
| Practice Address |
1333 W Belmont Ave Northwestern Medicine Chicago IL 60657-5785 |
| Mailing Address |
680 N Lake Shore Dr Suite 1000 Chicago IL 60611-4546 |
| Practice Telephone | 3129725115 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2015-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036136981 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1333 W BELMONT AVE NORTHWESTERN MEDICINE |
| City | CHICAGO |
| State | IL |
| Zip Code | 60657-5785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932332731 | Jessica M Kennedy | Internal Medicine | 1333 W Belmont Ave, Suite 200, Chicago, IL 60657 | 2009-08-26 |
| 1013518778 | Diana Nazareth Aguirre | Pharmacist | 1333 W Belmont Ave, Chicago, IL 60657-5785 | 2020-11-07 |
| 1750824496 | Primary Care Psychology Associates | Local Education Agency (LEA) | 1333 W Belmont Ave, 2nd Floor, Chicago, IL 60657-5785 | 2016-11-29 |
| 1558804328 | Erika Laine Yamin | Student in an Organized Health Care Education/Training Program | 1333 W Belmont Ave, 2nd Floor, Chicago, IL 60657-5785 | 2016-11-28 |
| 1942678446 | Natalie Ann Youngner | Nurse Practitioner | 1333 W Belmont Ave, Chicago, IL 60657-5785 | 2015-09-14 |
| 1356725113 | Natalie Eversden | Nurse Practitioner | 1333 W Belmont Ave, #100, Chicago, IL 60657-5785 | 2015-07-11 |
| 1497004907 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1333 W Belmont Ave, Chicago, IL 60657-5785 | 2012-08-30 |
| 1275893976 | Rosanne D Vasiloff | Family Medicine | 1333 W Belmont Ave, Suite 100 & 200, Chicago, IL 60657-5785 | 2012-05-29 |
| 1396001269 | Stevie Nicole Carraro | Internal Medicine | 1333 W Belmont Ave, Chicago, IL 60657 | 2012-04-05 |
| 1164743787 | Mark Romanelli | Dermatology | 1333 W Belmont Ave, Suite 200, Chicago, IL 60657-5785 | 2010-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303887 | Simone Paes | Behavior Technician | 3141 N Sheffield Ave, Chicago, IL 60657 | 2020-10-13 |
| 1821613175 | Samridhi Khatri | Internal Medicine | 836 W. Wellington Ave, Advocate Illinois Masonic Medica, Suite 1312, Chigaco, IL 60657 | 2020-06-12 |
| 1467074617 | Dewolfe Aesthetic Services Sc | Surgery | 3357 N. Southport Aveune, Chicago, IL 60657 | 2020-05-11 |
| 1790304657 | Mehr Amer Mjeed | Student in an Organized Health Care Education/Training Program | Advocate Internal Medicine Clinic, Advocate Illinois Ma, 836 West Wellington Avenue, Chicago, IL 60657 | 2020-04-10 |
| 1457997561 | Jasleen Mohini Singh | Physician Assistant | 1645a W School Street, Suite A, Clinic Entrance, Chicago, IL 60657 | 2019-11-24 |
| 1306493408 | Art of Sight Eyecare, LLC | Optometrist | 2915 N. Broadway, Chicago, IL 60657 | 2019-08-22 |
| 1992359277 | Joseph Michael Rochford IIi | Counselor | 1358 W Belmont Ave, Unit # 202, Chicago, IL 60657 | 2019-07-25 |
| 1487116240 | Conrad Petersen Dermatology Sc | Dermatology | 2845 N Sheridan, Chicago, IL 60657 | 2019-04-02 |
| 1003388810 | Evolve Wellness S.c. | Counselor | 2845 North Sheridan Road, Suite 708, Chicago, IL 60657 | 2018-12-19 |
| 1639657414 | Advocate North Side Health Network | Psychiatric Unit | 836 W Wellington Ave., Chicago, IL 60657 | 2018-08-02 |
| Find all providers in zip 60657 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053911495 | Moataz Barkat | Family Medicine | 3315 W 66th Pl, Chicago, IL 60629-3427 | 2020-10-26 |
| 1558976589 | Jasmine Ashley Fowler | Family Medicine | 2416 N Lotus Ave, Chicago, IL 60639-1435 | 2020-09-15 |
| 1720699176 | Healing Hands Resource Center Streator | Family Medicine | 2128 S Central Park Ave, Chicago, IL 60623-3113 | 2020-08-10 |
| 1285251892 | Soe Lwin Oo | Family Medicine | 1625 E 75th St # 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1124645700 | Timothy Alan Williams Jr. | Family Medicine | 1625 E 75th St Fl 1, Chicago, IL 60649-3603 | 2020-06-30 |
| 1194340026 | Kaysha Lynne Ribao | Family Medicine | 2116 S Springfield Ave, Chicago, IL 60623-2465 | 2020-06-16 |
| 1932724341 | Toni Kurian | Family Medicine | 1550 S Indiana Ave Apt 407, Chicago, IL 60605-4822 | 2020-06-11 |
| 1528689486 | Thurman J Robertson | Family Medicine | 1950 W. Polk Street, 7th Floor, Chicago, IL 60612-3714 | 2020-05-01 |
| 1629697297 | Lyndsey Danielle Johnson | Family Medicine | 2804 W Walton St, Chicago, IL 60622-4450 | 2020-04-13 |
| 1730708884 | Iruoma Genevieve Nwangwu | Family Medicine | 1950 W Polk Street, Chicago, IL 60612-3714 | 2020-04-09 |
| Find all providers in CHICAGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.