Cecelia H. Ricketts, M.D. Valid NPI

Individual provider · Clinical & Laboratory Dermatological Immunology Physician · Wilmette, IL

NPI

1689799454

Type

Individual (Type 1)

Primary specialty

Clinical & Laboratory Dermatological Immunology Physician (Dermatology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207NI0002X

License number

036093447 (IL)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-03-20

Last updated

2012-10-17