Organization
RITACCA LASER CENTER LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL JOHN RITACCA M.D. (OWNER)
(847) 367-8815
Entity
Organization
Contact information
Practice address
230 CENTER DR, VERNON HILLS, IL 60061-1584
(847) 367-8815
(847) 367-8819
Mailing address
230 CENTER DRIVE, SUITE 101, VERNON HILLS, IL 60061
(847) 367-8815
(847) 367-8819
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061443
—
IL
Enumeration date
03/09/2007
Last updated
07/21/2022
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