Individual
DR. JOHN RICHARD ARDIZZONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
618 LIBRARY PL, EVANSTON, IL 60201-2908
(847) 733-4300
Mailing address
1717 S PRAIRIE AVE APT 1105, CHICAGO, IL 60616-4335
(312) 898-1601
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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