Provider Demographics
NPI:1710425129
Name:RTB SC
Entity Type:Organization
Organization Name:RTB SC
Other - Org Name:RTB INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVI
Authorized Official - Middle Name:T
Authorized Official - Last Name:BARNABAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:773-366-9813
Mailing Address - Street 1:7011 N. KARLOV
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712
Mailing Address - Country:US
Mailing Address - Phone:773-366-9813
Mailing Address - Fax:773-989-1409
Practice Address - Street 1:5015 N. PAULINA #225
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60640
Practice Address - Country:US
Practice Address - Phone:773-561-4440
Practice Address - Fax:773-989-1409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-06
Last Update Date:2018-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty