Randall Ricketts, O.D

NPI 1083823611 · on the registry since 2007 · sole proprietor

Practice

Address: 1953 N Clybourn Ave
Chicago, IL 60614
Phone: (773) 857-1260
Fax: (773) 857-1624
Organisation at this address: Attune Psychotherapy And Wellness Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-08-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois