Ravi Badlani MDSC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036095133 Issued in IL

Legal business name

RAVI BADLANI MDSC

Practice address

2266 N Lincoln Ave
Lower Level
Chicago, IL 60614

Phone

(773) 883-3953

Fax

(773) 883-3649

NPI assigned

Sep 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ravi BadlaniNPI 1790758944

Title

President

Phone

(773) 883-3953

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ravi Badlani, M.D.

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1790758944
  Medicare reassignment NPD Authorized official
• Vandana K. Badlani, MD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1427068352
  NPD (past)
• Lora Kosivzoff, D.P.M.

  • Podiatrist
  • Chicago, IL
  • NPI 1740315472
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1639363377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2266 N LINCOLN AVE LOWR LEVEL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606147600",
            "telephone_number": "773-883-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2266 N LINCOLN AVE",
            "address_2": "LOWER LEVEL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60614",
            "telephone_number": "773-883-3953",
            "fax_number": "773-883-3649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2266 N Lincoln Ave",
            "address_2": "Lower Level",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606143718",
            "country_code": "US",
            "telephone_number": "773-883-3953",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3100 south Central Avenue",
            "address_purpose": "LOCATION",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60804",
            "country_code": "US",
            "telephone_number": "708-863-3803",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2800 West Fulton street",
            "address_2": "HERITAGE WOODS",
            "address_purpose": "LOCATION",
            "city": "chicago",
            "state": "IL",
            "postal_code": "60612",
            "country_code": "US",
            "telephone_number": "773-722-2900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 McHenry road",
            "address_2": "Harbor House",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "IL",
            "postal_code": "60090",
            "country_code": "US",
            "telephone_number": "847-465-2974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5831 West 115th Street",
            "address_2": "Park Lawn Association",
            "address_purpose": "LOCATION",
            "city": "Alsip",
            "state": "IL",
            "postal_code": "60803",
            "country_code": "US",
            "telephone_number": "708-396-1152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12927 S Monitor Ave",
            "address_2": "Bethshan Association",
            "address_purpose": "LOCATION",
            "city": "Palos Heights",
            "state": "IL",
            "postal_code": "604632434",
            "country_code": "US",
            "telephone_number": "708-371-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4343 W 123rd St",
            "address_purpose": "LOCATION",
            "city": "Alsip",
            "state": "IL",
            "postal_code": "608031807",
            "country_code": "US",
            "telephone_number": "708-371-9700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAVI BADLANI MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "BADLANI",
        "authorized_official_first_name": "RAVI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-883-3953",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036095133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036095133 1",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nanditha Ravichandran, MD

• Internal Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.