RITACCA LASER CENTER LTD NPI 1184935405

NPI Information

NPI: 1184935405
Provider Name: RITACCA LASER CENTER, LTD
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
230 CENTER DR
VERNON HILLS, IL
ZIP 60061
Phone: (847) 367-8815
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RITACCA LASER CENTER, LTD is an ambulatory surgical clinic center in Vernon Hills, IL. RITACCA LASER CENTER, LTD NPI is 1184935405. The provider is registered as an organization entity type.

The provider's business location address is:

230 CENTER DR
VERNON HILLS, IL
ZIP 60061-584
Phone: (847) 367-8815
Fax: (866) 367-8319

The provider's authorized official is Dawn Davidson .
The authorized official title is Office Manager and has the following contact phone number (847) 367-8815.

The enumeration date for this NPI number is 7/1/2010 and was last updated on 7/1/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	7003144	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	IL2644	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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