Provider Demographics
NPI:1730282914
Name:RAVAL, ROSHANI RAMESH (PHARMD)
Entity Type:Individual
Prefix:MISS
First Name:ROSHANI
Middle Name:RAMESH
Last Name:RAVAL
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:398 S PROSPECT AVE
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-4307
Mailing Address - Country:US
Mailing Address - Phone:708-202-7849
Mailing Address - Fax:708-202-7848
Practice Address - Street 1:398 S PROSPECT AVE
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-4307
Practice Address - Country:US
Practice Address - Phone:708-202-7849
Practice Address - Fax:708-202-7848
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1835P1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P1200XPharmacy Service ProvidersPharmacistPharmacotherapy