| Thomas A Rizzo, P.c. | |
|
624 E Ogden Ave Naperville IL 60563-3237 | |
| (630) 955-9800 | |
| (630) 420-3450 |
| Full Name | Thomas A Rizzo, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 624 E Ogden Ave, Naperville, Illinois |
| Authorized Official Name and Position | Thomas Anthony Rizzo (OWNER) |
| Authorized Official Contact | 6309559800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomas A Rizzo, P.c. 851 S Washington St Elmhurst IL 60126-4842 Ph: (630) 955-9800 | Thomas A Rizzo, P.c. 624 E Ogden Ave Naperville IL 60563-3237 Ph: (630) 955-9800 |
| NPI Number | 1760659841 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/08/2008 |
| Medicare PECOS PAC ID | 1557391018 |
|---|---|
| Medicare Enrollment ID | O20050816000170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760659841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071005460 (Illinois) | Primary |
| Provider Name | Thomas A Rizzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124047444 PECOS PAC ID: 3173553534 Enrollment ID: I20050816000204 |
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