Individual ProviderNanditha RavichandranEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address1901 W Harrison St, Chicago, IL 60612-3714(312) 864-6000PECOS EnrollmentBased on the most recent information from CMS, provider Nanditha Ravichandran is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 6:04 PM.Profile DetailsProvider ID1689323586Provider TypeIndividualFull NameRavichandran, NandithaTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/20/2022Last Updated6/2/2023Contact InformationPractice LocationPractice Address1901 W Harrison St, Chicago, IL 60612-3714Phone(312) 864-6000FaxUnlisted FaxMailing LocationMailing Address1901 W Harrison St, Chicago, IL 60612-3714Phone(312) 864-6000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense125.082367Illinois