NPI 1982004867

Phillip Racette

Practitioner Contractor Park Ridge, IL

Practice location

Address: 678 N Northwest Hwy Unit C, Park Ridge, IL 60068-2540
Phone: (847) 696-0040
Fax: (847) 696-2519

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 227002861 (IL)

Other Contractor providers in Illinois →

Registry record

NPI: 1982004867
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Aug 2014
Record last updated: 28 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.