Zac Brendan Ravage (NPI# 1992871248, PAC ID# 6901805159) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1992871248 |
| PAC ID by PECOS | 6901805159 |
| Professional Enrollment ID | I20061215000358 |
| Full Name | Zac Brendan Ravage |
| Organization Legal Name | ILLINOIS RETINA ASSOCIATES S C |
| Address |
1800 Hollister Dr Suite 207 Libertyville IL 60048-5266 |
| Phone Number | 8473676911 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1996 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6709799810 |
| Number of Group Practice Members | 14 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140010 | NORTHSHORE UNIVERSITY HEALTHSYSTEM - EVANSTON HOSPITAL |
| 140202 | ADVOCATE CONDELL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1725 W Harrison St, Suite 915, Chicago, IL 60612-3835 | 3129422117 | ILLINOIS RETINA ASSOCIATES S C |
| 71 W 156th St, Suite 400, Harvey, IL 60426-4265 | 7085968710 | ILLINOIS RETINA ASSOCIATES S C |
| 1800 Hollister Dr, Suite 207, Libertyville, IL 60048-5266 | 8473676911 | ILLINOIS RETINA ASSOCIATES S C |
| 4711 W Golf Rd, Suite 102, Skokie, IL 60076-1239 | 8476771340 | ILLINOIS RETINA ASSOCIATES S C |
| Organization Legal Name | ILLINOIS RETINA ASSOCIATES S C |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S Pollack | Ophthalmology | Illinois Retina Associates S C | 300 Barney Dr D, Joliet, IL 60435-5279 |
| Joseph M Civantos | Ophthalmology | Illinois Retina Associates S C | 71 W 156th St, Suite 400, Harvey, IL 60426-4265 |
| Kourous Attaran Rezaei | Ophthalmology | Illinois Retina Associates S C | 15300 W Ave, Suite 212 West Bldg, Orland Park, IL 60462-4600 |
| Timothy P Flood | Ophthalmology | Illinois Retina Associates S C | 25 E Washington St, Suite 301, Chicago, IL 60602-1734 |
| Sohail J Hasan | Ophthalmology | Illinois Retina Associates S C | 71 W 156th St, Suite 400, Harvey, IL 60426-4265 |
| Serge N Debustros | Ophthalmology | Illinois Retina Associates S C | 19550 Governors Hwy, Suite 3600, Flossmoor, IL 60422-2147 |
| Street Address |
1800 HOLLISTER DR SUITE 207 |
| City | LIBERTYVILLE |
| State | IL |
| Zip | 60048-5266 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christine V Petersen | Psychologist, Clinical | Grand Oaks Behavioral Health LLC | 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5266 |
| Jenny M Siddiqi | Psychologist, Clinical | Grand Oaks Behavioral Health LLC | 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5266 |
| Patricia A Sullivan | Nurse Practitioner | Advocate Health and Hospitals Corporation | 1800 Hollister Dr, G2, Libertyville, IL 60048-5264 |
| Elliot F Miller | Internal Medicine | Lake Forest Internal Medicine Ltd | 1800 Hollister Dr, Suite 211, Libertyville, IL 60048-5266 |
| Liyuan Yu | Diagnostic Radiology | Central Illinois Neuroradiology Ltd | 1800 Hollister Dr, Suite G18, Libertyville, IL 60048-5261 |
| Michael L Savitt | Ophthalmology | M.l. Savitt Inc | 1800 Hollister Dr, Suite 205, Libertyville, IL 60048-5266 |
| Steven N Sharlin | Podiatry | 1800 Hollister Dr, Suite 109, Libertyville, IL 60048-5265 | |
| Julie Beth Pearlman | Ophthalmology | M.l. Savitt Inc | 1800 Hollister Dr, Suite 205, Libertyville, IL 60048-5266 |
| Kelly C Lindenbaum | Clinical Social Worker | Grand Oaks Behavioral Health LLC | 1800 Hollister Dr, Suite 201, Libertyville, IL 60048-5266 |
| Richard D Rosenfeld | Vascular Surgery | 1800 Hollister Dr, Suite 121, Libertyville, IL 60048-5265 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bharathi Swaminathan | Physical Medicine and Rehabilitation | 1419 Peterson Rd, Libertyville, IL 60048-1001 | |
| Svetlana F Pikus | Optometry | 1449 Peterson Rd, Libertyville, IL 60048-1001 | |
| Kerri A Kulovitz | Hand Surgery | Chicago Hand and Orthopedic Surgery Centers Sc | 1419 Peterson Rd, Libertyville, IL 60048-1001 |
| Dan M Young | Chiropractic | 283 Peterson Rd, Libertyville, IL 60048-1005 | |
| Danny Mclane | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Thomas L Conzelman | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Sara J Meline | Chiropractic | Adio Chiropractic Clinic Sc | 316 Peterson Rd, Libertyville, IL 60048-1008 |
| Elizabeth Nodine | Family Medicine | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Robin A Mathew | Nurse Practitioner | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Joshua B Nathan | Psychiatry | County of Lake | 18698 W Peterson Rd, Libertyville, IL 60048-1052 |
| Find all physicians in zip 60048 | |||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | LIBERTYVILLE + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Zac Brendan Ravage.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.