Randall R Ricketts (NPI# 1083823611, PAC ID# 3577832641) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1083823611 |
| PAC ID by PECOS | 3577832641 |
| Professional Enrollment ID | I20170705001515 |
| Full Name | Randall R Ricketts |
| Address |
1953 N Clybourn Ave Chicago IL 60614-4945 |
| Phone Number | 7738571260 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1990 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1953 N Clybourn Ave, Chicago, IL 60614-4945 | 7738571260 |
| Street Address |
1953 N CLYBOURN AVE |
| City | CHICAGO |
| State | IL |
| Zip | 60614-4945 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hayley Price | Physical Therapy | Athletico Ltd | 1953 N Clybourn Ave, Suite D, Chicago, IL 60614-4891 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Timothy P Marando | Chiropractic | Physicians Plus North Ltd | 1700 W Diversey Pkwy, 2w, Chicago, IL 60614-1010 |
| Paul A Marando | Chiropractic | Physicians Plus North Ltd | 1700 W Diversey Pkwy, 2w, Chicago, IL 60614-1010 |
| Patrick D Labelle | Chiropractic | Patrick Labelle Dc Sc | 1255 W Diversey Pkwy, Chicago, IL 60614-1201 |
| Bradley H Hirsh | Chiropractic | Patrick Labelle Dc Sc | 1255 W Diversey Pkwy, Chicago, IL 60614-1201 |
| Morgan R Copp | Occupational Therapy | Athletico Ltd | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 |
| John W Tenhundfeld | Family Medicine | 1317 W Diversey Pkwy, Chicago, IL 60614-1207 | |
| Chelsea K Root | Physical Therapy | Athletico Ltd | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 |
| Jeremy S Adelman | Physical Therapy | Athletico Ltd | 1323 W Diversey Pkwy, Chicago, IL 60614-1207 |
| Michael S Williams | Podiatry | 2752 N Southport Ave, Chicago, IL 60614-1230 | |
| Debra E Young | Podiatry | 2752 N Southport Ave, Chicago, IL 60614-1230 | |
| Find all physicians in zip 60614 | |||
| City | CHICAGO |
| Zip Code | 60614 |
| Specialty | OPTOMETRY |
| City + Specialty | CHICAGO + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.