Individual
JOELLE RICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
10755 163RD PLACE, ORLAND PARK, IL 60467
(708) 873-1187
(708) 873-1204
Mailing address
10755 163RD PL, ORLAND PARK, IL 60467-8861
(708) 873-1187
(708) 873-1204
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-001607
IL
Other
Enumeration date
02/26/2007
Last updated
02/11/2014
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