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Individual

DR. ANA C RICARDO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD, MPH

Contact information

Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
(312) 355-3093
Mailing address
820 S WOOD ST, SUITE 418W, SECTION OF NEPHROLOGY, CHICAGO, IL 60612-4325
(312) 996-6736
(312) 996-7378

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036112446
IL
207RN0300X
Nephrology Physician
Primary
036112446
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036112446
IL
Enumeration date
07/27/2006
Last updated
06/21/2011
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