Rita, Debra Ann
Rita, Debra Ann is an individual health care provider with primary practice located at 1875 Dempster St , Park Ridge IL 60068-1186. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Rita, Debra Ann can be contacted via phone (847) 723-7705.Contact Information
Primary practice address
1875 Dempster St
Park Ridge IL 60068-1186
Phone: (847) 723-7705
Fax: (847) 723-8675
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036065740 | Illinois |
Profile Details
| NPI number | 1093751075 |
|---|---|
| LBN Legal business name | Rita, Debra Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 20th, 2006 |
| Last updated | Mar 10th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093751075 | NPPES |
| Illinois | MEDICAID | 036-065740 |
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