Ravi Amin Valid NPI
Individual provider · Dentist · Crystal Lake, IL
- NPI
- 1962986208
- Type
- Individual (Type 1)
- Primary specialty
- Dentist
- Specialty group
- Dental Providers
- Taxonomy code
- 122300000X
- License number
- 019.031878 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2018-09-22
- Last updated
- 2018-09-22
Practice location
720 Cog Cir Ste H
Crystal Lake, IL 60014-7301
(779) 220-4396