Organization
KIMBERLY RICAURTE, DO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RICAURTE (OWNER/PRACTITIONER)
(847) 387-3918
Entity
Organization
Contact information
Practice address
800 HART RD STE 265, BARRINGTON, IL 60010-2671
(847) 387-3918
(847) 387-3754
Mailing address
421 N NORTHWEST HWY STE 4, BARRINGTON, IL 60010-6020
(847) 387-3918
(847) 387-3754
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
036095603
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01633315
BLUE SHIELD OF ILLINOIS
IL
Enumeration date
06/15/2007
Last updated
06/27/2024
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