Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. CECELIA H. RICKETTS, M.D.
Active Sole ProprietorClinical & Laboratory Dermatological Immunology · WILMETTE, IL
Registration Details
- NPI Number
- 1689799454
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 20, 2007 (19.089968527808 yrs)
- Last Updated
- Oct 17, 2012
- License
-
036093447 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 LINDEN AVEWILMETTE, IL, 600912844Browse IL providers · Browse ZIP 60091
- Phone
- 8479209177
- Fax
- 8479209188
- Primary Specialty
-
Clinical & Laboratory Dermatological Immunology
207NI0002X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.