Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mamata Ravipati, MD

Individual provider Internal Medicine Physician · NPI 1962490169

Dr. Mamata Ravipati, MD is an Internal Medicine Physician in North Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3471 Green Bay Rd
North Chicago, IL 60064-3090
Phone: (847) 473-4357
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036-104010 (IL)

Record details

NPI number1962490169
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 11, 2005
Last updated in NPPESSeptember 26, 2016
Mailing address3537 Paysphere Cir, Chicago, IL 60674-0035

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