Individual
PHILLIP RACETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
678 N NORTHWEST HWY, UNIT C, PARK RIDGE, IL 60068-2540
(847) 696-0040
(847) 696-2519
Mailing address
678 N NORTHWEST HWY, UNIT C, PARK RIDGE, IL 60068-2540
(847) 696-0040
(847) 696-2519
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
227002861
IL
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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