Lora Riccolo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019022967 Issued in IL

Practice address

1N121 County Farm Rd
Suite 130
Winfield, IL 60190-2019

Phone

(630) 653-7700

Fax

(630) 653-8035

NPI assigned

Sep 19, 2011

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1316390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316390400000",
    "number": "1912289745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1N121 COUNTY FARM RD",
            "address_2": "SUITE 130",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "60190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1N121 COUNTY FARM RD",
            "address_2": "SUITE 130",
            "city": "WINFIELD",
            "state": "IL",
            "postal_code": "601902019",
            "telephone_number": "630-653-7700",
            "fax_number": "630-653-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCOLO",
        "first_name": "LORA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-19",
        "last_updated": "2011-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019022967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Patrick Reid, M.D.
• Julianne Reinbold
• Laura Ann Rempert
• Elisa Y. Rhew, M.D.
• David K Rhoads I, O.D.
• Katie Richards, MD
• Kevin Riley, DO
• Rinella Orthotics, Inc.
• Renato Ripamonti, MD
• Syeda Gul-E-Zehra Rizvi, MD

• General Practice Dentistry in Winfield, IL
• Providers in Winfield, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2011; 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.