MR. Victor Rico SR.

NPI #1265831630 in Crystal Lake, Illinois

Provider Information

NPI Number: 1265831630
Entity Type: Individual
Name: MR. Victor Rico SR.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Aug 21, 2014
Last Updated: Aug 21, 2014

Practice Location

Address: 10 N VIRGINIA ST
City: Crystal Lake
State: Illinois
ZIP Code: 60014-4139
Phone: (815) 459-3860

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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