# RITACCA COSMETIC SURGERY & MEDSPA, LTD

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

## Provider details

- **NPI number:** 1700164712
- **Authorized official:** DR. DANIEL RITACCA (OWNER)
- **Authorized official phone:** (847) 367-8815

## Contact information

- **Practice address:** 230 CENTER DRIVE, SUITE 202, VERNON HILLS, IL 60061
- **Practice address phone:** (847) 367-8815
- **Mailing address:** 230 CENTER DRIVE, SUITE 202, VERNON HILLS, IL 60061
- **Mailing address phone:** (847) 367-8815
- **Mailing address fax:** (866) 367-8319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | — |
| 202K00000X | Phlebology Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 07/25/2011
- **Last updated:** 11/18/2024