Healthcare Provider Details

I. General information

NPI: 1619809696
Provider Name (Legal Business Name): HANNAH MARIA RICCI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 S ADDISON AVE
VILLA PARK IL
60181-2877
US

IV. Provider business mailing address

6380 KINDLING CT
LISLE IL
60532-3313
US

V. Phone/Fax

Practice location:
  • Phone: 630-620-4433
  • Fax: 630-357-9699
Mailing address:
  • Phone: 708-953-4011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number070039897
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: