Ritacca Laser Center Ltd | |
230 Center Dr Vernon Hills IL 60061-1584 | |
(847) 367-8815 | |
(847) 367-8819 |
Full Name | Ritacca Laser Center Ltd |
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Speciality | Clinic/Center |
Location | 230 Center Dr, Vernon Hills, Illinois |
Authorized Official Name and Position | Daniel John Ritacca (OWNER) |
Authorized Official Contact | 8473678815 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ritacca Laser Center Ltd 230 Center Drive, Suite 101 Vernon Hills IL 60061 Ph: (847) 367-8815 | Ritacca Laser Center Ltd 230 Center Dr Vernon Hills IL 60061-1584 Ph: (847) 367-8815 |
NPI Number | 1720110497 |
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Provider Enumeration Date | 03/09/2007 |
Last Update Date | 07/21/2022 |
Medicare PECOS PAC ID | 7012972300 |
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Medicare Enrollment ID | O20091019000730 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720110497 | NPI | - | NPPES |
036061443 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (Illinois) | Primary |
Lake County Acute Care, Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 E Phillip Rd, Vernon Hills, IL 60061 Phone: 847-680-0500 Fax: 847-680-0509 | |
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