Individual
DR. RICARDO GABRIEL SENNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1535 LAKE COOK RD, SUITE 306, NORTHBROOK, IL 60062-1447
(847) 644-8242
(847) 272-8221
Mailing address
1535 LAKE COOK RD, SUITE 306, NORTHBROOK, IL 60062-1447
(847) 644-8242
(847) 272-8221
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036099306
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099306
—
IL
01
—
363236791
TAX ID #
IL
Enumeration date
12/01/2006
Last updated
05/02/2017
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