Raven King
NPI #1134933054 in Park Forest, Illinois
Provider Information
- NPI Number
- 1134933054
- Entity Type
- Individual
- Name
- Raven King
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 3, 2025
- Last Updated
- Feb 4, 2026
Practice Location
- Address
- 402 TAMARACK ST
- City
- Park Forest
- State
- Illinois
- ZIP Code
- 60466-4108
- Phone
- (708) 600-3037
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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