Cecelia H. Ricketts, M.D.

Primary specialty

Clinical & Laboratory Dermatological Immunology PhysicianTaxonomy code 207NI0002X

License

036093447 Issued in IL

Practice address

401 Linden Ave
Wilmette, IL 60091-2844

Phone

(847) 920-9177

Fax

(847) 920-9188

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: cricketts252403@direct.myadvocateaurora.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Skin Wellness Center of Chicago, SC

  • Dermatology Physician
  • Chicago, IL
  • NPI 1356553754
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1689799454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912844",
            "telephone_number": "847-920-9177",
            "fax_number": "847-920-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 LINDEN AVE",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600912844",
            "telephone_number": "847-920-9177",
            "fax_number": "847-920-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICKETTS",
        "first_name": "CECELIA",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "IL",
            "license": "036093447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loveline Dulay Reyes, DDS
• Jane Rhee
• Lindsay Rich, M.A., CCC-SLP
• Julia Ann Richards, MSOT
• Kenneth Richmond, MD
• Ridge Pharmacy Inc
• Ridgewellness Center
• River North Pain Management Consultants SC
• Oleg Rivkin
• Keith H. Rizman, D.D.S.

• Clinical & Laboratory Dermatological Immunology Physician in Wilmette, IL
• Providers in Wilmette, IL by specialty
• Clinical & Laboratory Dermatological Immunology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.