Individual
DR. DEBRA ANN RITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1875 DEMPSTER ST, PARK RIDGE, IL 60068-1186
(847) 723-7705
(847) 723-8675
Mailing address
PO BOX 92710, CHICAGO, IL 60675-0001
(847) 390-5900
(847) 390-5450
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036065740
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-065740
—
IL
Enumeration date
06/20/2006
Last updated
03/10/2009
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