# RITACCA LASER CENTER, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184935405
- **Authorized official:** DAWN DAVIDSON (OFFICE MANAGER)
- **Authorized official phone:** (847) 367-8815

## Contact information

- **Practice address:** 230 CENTER DR, VERNON HILLS, IL 60061-1584
- **Practice address phone:** (847) 367-8815
- **Practice address fax:** (866) 367-8319
- **Mailing address:** 230 CENTER DR, VERNON HILLS, IL 60061-1584
- **Mailing address phone:** (847) 367-8815
- **Mailing address fax:** (866) 367-8319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 7003144 | IL | Yes |

## Other

- **Enumeration date:** 07/01/2010
- **Last updated:** 07/01/2010