Ritacca Laser Center LTD

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RITACCA LASER CENTER LTD

Practice address

230 Center Dr
Vernon Hills, IL 60061-1584

Phone

(847) 367-8815

Fax

(847) 367-8819

NPI assigned

Mar 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel John Ritacca, M.D.NPI 1801929799

Title

Owner

Phone

(847) 367-8815

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Vernon Square SurgicenterCCN 14C0001141

Medicare certification status

ActiveFrom the Provider of Services file

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.

• Ritacca Laser Center

  • Optometrist
  • Vernon Hills, IL
  • NPI 1649323502
  NPD tax ID
• Ritacca Laser Center

  • Ambulatory Surgical Clinic/Center
  • Vernon Hills, IL
  • NPI 1750526760
  NPD tax ID
• Ritacca Laser Center, LTD

  • Ambulatory Surgical Clinic/Center
  • Vernon Hills, IL
  • NPI 1184935405
  NPD tax ID

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel John Ritacca, M.D.

  • Ophthalmology Physician
  • Vernon Hills, IL
  • NPI 1801929799
  NPD (past) Authorized official
• Leonard Lu, MD

  • Plastic Surgery Physician
  • Vernon Hills, IL
  • NPI 1952489338
  NPD (past)
• Kathleen M Morno, M.D.

  • Ophthalmology Physician
  • North Riverside, IL
  • NPI 1942247770
  NPD (past)
• Katherine Schuster

  • Physician Assistant
  • Park Ridge, IL
  • NPI 1386183374
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1720110497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CENTER DRIVE, SUITE 101",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "60061",
            "telephone_number": "847-367-8815",
            "fax_number": "847-367-8819"
        },
        {
            "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": "847-367-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITACCA LASER CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RITACCA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-367-8815",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036061443",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard N Bolnick PSYD & Associates PC
• Kimberley Riley
• Ritacca Cosmetic Surgery & Medspa, LTD
• Ritacca Laser Center
• Ritacca Laser Center
• Ritacca Laser Center, LTD
• Daniel John Ritacca, M.D.
• Stephanie Rivera
• Erin Paige Robbins, APRN, CNP
• Stacy Robeson, M.S. CCC-SLP

• Multi-Specialty Clinic/Center in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.