Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 213000218 | IL |
N | 222Z00000X | Podiatrist | 213000218 | IL |
Y | 224P00000X | Prosthetist | 211000038 | IL |
NPI | 1184124240 |
---|---|
Provider Name | Joseph Ramicone |
First Address | Oakbrook Terrace, IL 60181 |
Second Address | Oakbrook Terrace, IL 60181 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2018 |
Last Update Date | 15/02/2018 |