Raymond Rickelman, PA-C
NPI #1457381345 in Westchester, Illinois
Provider Information
- NPI Number
- 1457381345
- Entity Type
- Individual
- Name
- Raymond Rickelman, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Jul 4, 2006
- Last Updated
- Sep 30, 2015
Practice Location
- Address
- 2852 MAYFAIR AVE
- City
- Westchester
- State
- Illinois
- ZIP Code
- 60154-5009
- Phone
- (208) 559-3757
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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