Doctor Name: | RICHARD J FEROLO |
NPI Number: | 1750436952 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 27750 W Il Route 22 Suite G60 Barrington, IL - 600102379 |
Business Phone Number: | 8472779700 |
Business Fax Number: | 8472779708 |
Mailing Address: | 22285 Pepper Road, Suite 211 LAKE BARRINGTON |
State: | IL |
Postal Code: | 60010 |
Phone Number: | 8472779700 |
Fax Number: | 8472779708 |
NPI Enumeration Date: | 01/25/2007 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |