Rico Medical Office, Corp.

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

RICO MEDICAL OFFICE, CORP.

Practice address

646 W Wellington Ave Apt 2E
Chicago, IL 60657-9330

Phone

(773) 525-8744

NPI assigned

Dec 13, 2013

Last updated

Dec 13, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Cawley

Title

Manager

Phone

(773) 525-8744

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1386892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1821429036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W WELLINGTON AVE APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 W WELLINGTON AVE APT 2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606579330",
            "telephone_number": "773-525-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICO MEDICAL OFFICE, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-13",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "CAWLEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-525-8744"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thiesha A Ricketts
• Rickie L Kostiner LLC
• Jacqueline Rickman
• Ricks Services Incorporated (@Home Healthcare)
• Jamie Lynn Ricks
• Leticia Rico-Herrera
• Maritza Rico, LCPC
• Rebeca M Rico, MD
• Renalyn Rico, RPT
• Timothy Riddell, PA-C

• Pain Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Pain Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.