Individual
LUIZA RIKHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3704 PROVENANCE WAY, NORTHBROOK, IL 60062-5062
(847) 961-0663
Mailing address
3704 PROVENANCE WAY, NORTHBROOK, IL 60062-5062
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041425179
IL
367500000X
Certified Registered Nurse Anesthetist
041.425179
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209021523
IL
Other
Enumeration date
03/30/2020
Last updated
06/22/2023
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