Individual
RICKY BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5228 W MONROE ST, CHICAGO, IL 60644-4144
(312) 217-1720
Mailing address
500 N MANNHEIM RD UNIT 5W, HILLSIDE, IL 60162-1160
(708) 663-9864
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
IL
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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