Individual provider · Type 1 NPI
John Richard Ardizzone, PhD
Specialist · Evanston, IL
NPI number
1174660948
Active
Practice location
618 Library Pl
Evanston, IL 60201-2908
Mailing address
1717 S Prairie Ave Apt 1105
Chicago, IL 60616-4335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | None listed |
Specialist: 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.
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About NPI 1174660948
John Richard Ardizzone, PhD's National Provider Identifier is 1174660948, issued on Jan 31, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Evanston, IL. The record was last updated on Jul 8, 2007.