Debra L Ricciardi, D.O.
Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine in Wheeling, IL. Individual provider (NPI-1).
NPI number1740307016
StatusActive
Last updated in NPPESSep 26, 2012
Details
- NPI
- 1740307016
- Entity type
- Individual (NPI-1)
- Name
- Debra L Ricciardi
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 23, 2007
- Last updated
- Sep 26, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2083P0500X | Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | 036-095110 | IL | Yes |
| 207Q00000X | Family Medicine | 036095110 | IL |
Practice location
544a W Dundee RdWheeling, IL 60090-2675
Phone 615-778-4066
Mailing address
5080 Spectrum DrSuite 1200w
Addison, TX 75001-4648
Phone 972-364-8000
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