Individual
DR. KIMBERLY KAY RICAURTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
570 LINCOLN AVE, SUITE 4, WINNETKA, IL 60093-2355
(847) 441-5700
(847) 441-5167
Mailing address
570 LINCOLN AVE STE 4, WINNETKA, IL 60093-2355
(847) 441-5700
(847) 441-5167
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
036095603
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036095603
—
IL
Enumeration date
09/03/2006
Last updated
03/05/2021
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