Michaela Elise Rickert, RD, PA-C

Physician Assistant · Glen Ellyn, IL

Individual Active NPI

NPI number 1952686057

Practice location

430 Pennsylvania Ave # 320
Glen Ellyn, IL 60137-4464
Phone
(630) 668-2180

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NPI record

NPI
1952686057
Entity type
Individual (Type 1)
Enumeration date
October 20, 2011
Last updated
September 14, 2018
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085005079 IL

Mailing address

1860 Paysphere Cir
Chicago, IL 60674-0018
Phone
(630) 469-9200

About Michaela Rickert

Michaela Elise Rickert, RD, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 430 Pennsylvania Ave # 320, Glen Ellyn, IL 60137-4464. The NPI number 1952686057 was assigned on October 20, 2011 and the record was last updated on September 14, 2018.

Michaela Rickert lists a license in the registry: #085005079 (IL) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michaela Elise Rickert, RD, PA-C?

The NPI number is 1952686057.

What is the phone number of Michaela Rickert?

The phone number listed for the practice location is (630) 668-2180.

Where is Michaela Rickert located?

430 Pennsylvania Ave # 320, Glen Ellyn, IL 60137-4464.

What is the taxonomy code for Michaela Rickert?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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