NPIMap

Organization Active NPI

Ritacca Laser Center, LTD

  • Ambulatory Surgical Clinic/Center
  • Vernon Hills, IL
National Provider Identifier
1184935405
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7003144 Issued in IL
Legal business name
RITACCA LASER CENTER, LTD
Practice address
230 Center Dr
Vernon Hills, IL 60061-1584
Phone
(847) 367-8815
Fax
(866) 367-8319
NPI assigned
Jul 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dawn Davidson
Title
Office Manager
Phone
(847) 367-8815

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7003144 IL Primary

Addresses

Primary practice location

230 Center Dr
Vernon Hills, IL 60061-1584

Mailing address

230 Center Dr
Vernon Hills, IL 60061-1584
Phone (847) 367-8815

National Provider Directory

National Provider Directory
Tax ID family
Ritacca Laser Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

230 Center Dr
Vernon Hills, IL 60061
Phone (847) 367-8764

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277942400000",
    "number": "1184935405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CENTER DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611584",
            "telephone_number": "847-367-8815",
            "fax_number": "866-367-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 CENTER DR",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611584",
            "telephone_number": "847-367-8815",
            "fax_number": "866-367-8319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITACCA LASER CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-01",
        "last_updated": "2010-07-01",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "847-367-8815"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7003144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.