Individual
DR. JODY L RICKETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
730 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1914
(847) 362-9900
(847) 362-9936
Mailing address
730 N MILWAUKEE AVE, LIBERTYVILLE, IL 60048-1914
(847) 362-9900
(847) 362-9936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046-008169
IL
Other
Enumeration date
09/07/2006
Last updated
06/03/2013
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