Individual
DR. RENATO RIPAMONTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 N. WINFIELD RD., WINFIELD, IL 60190
(630) 933-4487
(630) 933-2009
Mailing address
25 N. WINFIELD RD., WINFIELD, IL 60190
(630) 933-4487
(630) 933-2009
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036-109824
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036109824
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036109824
—
IL
01
—
206147
MEDICARE GROUP PTAN
IL
01
—
F400116680
MEDICARE INDIVIDUAL PTAN
IL
Enumeration date
07/03/2007
Last updated
12/27/2017
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