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NICHOLE RAVE, PA-C
PA-C
Dermatology Physician
NPI: 1386031045IndividualAccepts Medicare
Specialties, Licenses & Credentials
Athletic Trainer
Specialist/Technologist — Athletic Trainer
Code: 2255A2300X
Student in an Organized Health Care Education/Training Program
Student in an Organized Health Care Education/Training Program
Code: 390200000X
Dermatology PhysicianPrimary
Dermatology
Code: 207N00000X
085009019(IL)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2021
Contact & Hours
- Address
- 1404 EASTLAND DR STE 204
BLOOMINGTON, IL 61701 - Phone
- (309) 662-8813
Quick Facts
- NPI
- 1386031045
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 5
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