Provider Demographics
NPI:1659456697
Name:RAL SERVICES LTD
Entity Type:Organization
Organization Name:RAL SERVICES LTD
Other - Org Name:AMERICAN FAMILY DOCTOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:G
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-232-7600
Mailing Address - Street 1:2197 BLACKBERRY DRIVE
Mailing Address - Street 2:C/O AMERICAN FAMILY DOCTOR
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134
Mailing Address - Country:US
Mailing Address - Phone:630-232-7600
Mailing Address - Fax:630-232-7941
Practice Address - Street 1:2197 BLACKBERRY DR
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134
Practice Address - Country:US
Practice Address - Phone:630-232-7600
Practice Address - Fax:630-232-7941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty