Raval, Deena G

Raval, Deena G is an individual health care provider with primary practice located at 1345 Edwards St , Morris IL 60450-1691. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Raval, Deena G can be contacted via phone (815) 942-9299.

Contact Information

Primary practice address
1345 Edwards St Morris IL 60450-1691
Phone: (815) 942-9299
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125051090 Illinois
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 036122342 Illinois

Profile Details

NPI number 1376724773
LBN Legal business name Raval, Deena G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2007
Last updated May 2nd, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376724773 NPPES
Illinois MEDICAID 036122342

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