Dr Cecelia H Ricketts, MD | |
401 Linden Ave, Wilmette, IL 60091-2844 | |
(847) 920-9177 | |
(847) 920-9188 |
Full Name | Dr Cecelia H Ricketts |
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Gender | Female |
Speciality | Dermatology - Clinical & Laboratory Dermatological Immunology |
Location | 401 Linden Ave, Wilmette, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689799454 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207NI0002X | Dermatology - Clinical & Laboratory Dermatological Immunology | 036093447 (Illinois) | Primary |
Entity Name | Brodsky Dermatology Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962553867 PECOS PAC ID: 0941302863 Enrollment ID: O20070223000470 |
Mailing Address | Practice Location Address |
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Dr Cecelia H Ricketts, MD 401 Linden Ave, Wilmette, IL 60091-2844 Ph: (847) 920-9177 | Dr Cecelia H Ricketts, MD 401 Linden Ave, Wilmette, IL 60091-2844 Ph: (847) 920-9177 |
Dr. Virginia Carol Fiedler, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 1921 Lake Ave, Suite C, Wilmette, IL 60091 Phone: 847-920-1700 Fax: 847-920-1739 | |
Liborka Kos, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 3232 Lake Ave, Wilmette, IL 60091 Phone: 847-318-9330 | |
Dr. Gerta S Janss, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 711 11th St, Wilmette, IL 60091 Phone: 847-920-0225 |