ZAC B RAVAGE (NPI# 1992871248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992871248 |
| Entity Type | Individual |
| Full Name | ZAC B RAVAGE |
| Credential | MD |
| Practice Address |
71 W 156th St Suite 400 Harvey IL 60426-4265 |
| Practice Telephone | 7085968710 |
| Practice Fax Number | 7085969820 |
| Mailing Telephone | 7085968710 |
| Mailing Fax Number | 7085969820 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2017-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 036115411 | IL | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
036115411 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036115411 | 05 | |
| IL | RRMC | P00341906 | 01 |
| Street Address |
71 W 156TH ST SUITE 400 |
| City | HARVEY |
| State | IL |
| Zip Code | 60426-4265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043217078 | Michael Sean Romberg | Surgery | 71 W 156th St, Suite 311, Harvey, IL 60426-4260 | 2005-07-05 |
| 1205372901 | Margaret A Geisler | Physician Assistant | 71 W 156th St, Suite 308, Harvey, IL 60426-4260 | 2017-01-18 |
| 1740630300 | Karen Woodard | Nurse Practitioner | 71 W 156th St, 401, Harvey, IL 60426-4260 | 2016-06-15 |
| 1841676038 | Sas Surgical Ltd. | Surgery | 71 W 156th St, Suite 311, Harvey, IL 60426-4260 | 2015-08-11 |
| 1003243155 | Indiana Radiology Imaging Consultants | Radiology | 71 W 156th St, Suite 110, Harvey, IL 60426-4260 | 2013-10-03 |
| 1467705988 | Arizona Radiology Imaging Consultants, Pllc | Radiology | 71 W 156th St, Suite 110, Harvey, IL 60426-4260 | 2012-10-22 |
| 1831461771 | Georgia Radiology Imaging Consultants, LLC | Radiology | 71 W 156th St, Suite 110, Harvey, IL 60426-4260 | 2012-02-08 |
| 1851669725 | Surgical Care Associates Ltd | Surgery | 71 W 156th St, Suite 309, Harvey, IL 60426-4260 | 2011-12-07 |
| 1053699140 | Renaud Duval | Ophthalmology | 71 W 156th St, Suite #400, Harvey, IL 60426-4265 | 2011-07-24 |
| 1417274184 | Donne Bennett De Leon Caces | Internal Medicine | 71 W 156th St, Suite 401, Harvey, IL 60426-4260 | 2010-04-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295377471 | Carol E Gillett | Technician | 14607 Jefferson St., Harvey, IL 60426 | 2019-10-09 |
| 1356866479 | Zzm Investments Inc | Non-emergency Medical Transport (VAN) | 16429 Halsted St, Harvey, IL 60426 | 2017-08-09 |
| 1639628225 | Scottlab, Ltd. | Clinical Medical Laboratory | 71 W 156th St Ste 206a, Harvey, IL 60426 | 2016-09-24 |
| 1043608631 | Yvette M. Johnson | Nurse Practitioner | 31 W. 155th Street, Harvey, IL 60426 | 2015-01-05 |
| 1558665539 | Phillip T Robinson | Contractor | 16001 Marshfield St, Harvey, IL 60426 | 2011-01-05 |
| 1669657466 | South Shore Behavioral Consultants | Counselor | 369 East 147th Street Suite E, Harvey, IL 60426 | 2007-12-31 |
| 1770784670 | County of Cook Harvey Public School District 152 | Local Education Agency (LEA) | 152nd Myrtle St, Harvey, IL 60426 | 2007-05-29 |
| 1518180678 | Associated Medical Center Sc | Family Medicine | 15900 So Carol Avenue, Harvey, IL 60426 | 2007-04-10 |
| 1336269133 | Cook County | Clinic/Center | 650 E Phoenix Center Dr, Phoenix, IL 60426 | 2007-03-29 |
| 1932243433 | Michael T Jones Dmd Ltd | Dentist | 15335 Page Ave, Harvey, IL 60426 | 2007-02-16 |
| Find all providers in zip 60426 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023472560 | Chirag Shah | Ophthalmology | 71 W 156th St Ste 400, Harvey, IL 60426-4265 | 2016-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275739518 | Retina Macula Specialists, P.C. | Ophthalmology | 550 E. Boughton Road Suite 120, Bilingbrook, IL 60440 | 2007-06-25 |
| 1447243407 | Irma Ahmed | Ophthalmology | 550 E. Boughton Rd, Suite 120, Bolingbrook, IL 60440 | 2005-08-25 |
| 1689666885 | Michael A Grassi | Ophthalmology | 1012 95th St Ste 9, Naperville, IL 60564-5040 | 2005-08-16 |
| 1376022426 | Marion Eye Centers Ltd. | Ophthalmology | 621 S 2nd St, Greenville, IL 62246-1744 | 2018-08-09 |
| 1790211381 | Reitna Institute of Illinois | Ophthalmology | 8780 W Golf Rd, Ste 304, Niles, IL 60714-5602 | 2017-05-03 |
| 1598121113 | Grassi Retina Md Sc | Ophthalmology | 1012 95th St, Suite 9, Naperville, IL 60564-5041 | 2016-01-12 |
| 1366820441 | Omar Hassan | Ophthalmology | 1740 W Taylor St, Chicago, IL 60612-7232 | 2015-05-11 |
| 1235572173 | Ria Dirghayu Desai | Ophthalmology | 259 E Erie St Ste 1520, Chicago, IL 60611-3111 | 2013-04-10 |
| 1679836647 | Andrew W Francis | Ophthalmology | 303 W Lake St, Ste 303, Addison, IL 60101-2586 | 2012-06-24 |
| 1497046619 | Fatima Ahmed | Ophthalmology | 611 W Park St, Urbana, IL 61801-2529 | 2011-04-21 |
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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.