Individual
RAYMOND RICKELMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2852 MAYFAIR AVE, WESTCHESTER, IL 60154-5009
(208) 559-3757
Mailing address
2 E 22ND ST STE 110, LOMBARD, IL 60148-6100
(630) 376-6317
(630) 376-6319
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005070
IL
Other
Enumeration date
07/04/2006
Last updated
09/30/2015
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