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
Fax: (847) 723-8675
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093751075 NPPES
Illinois MEDICAID 036-065740

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