| NPI | 1700164712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RITACCA Owner 847-367-8815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2086S0129X Surgery, Vascular Surgery | |
| 202K00000X Phlebology | |
| Enumeration Date | 2011-07-25 |
| Last Update Date | 2016-08-17 |