Phillip Racette

NPI 1982004867 · on the registry since 2014 · sole proprietor

Practice

Address: 678 N Northwest Hwy
Unit C
Park Ridge, IL 60068
Phone: (847) 696-0040
Fax: (847) 696-2519
Organisation at this address: Supreme Wellness Aesthetics & Recovery Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 5

Registry record

Primary taxonomy: Contractor
171W00000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2014-08-28

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