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General NPI Number Information
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NPI Number | 1184501512
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Entity Type | Individual
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Provider Name | SARAH RICCIO PSYD
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Gender | Female
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Dates
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Enumeration Date | 08/18/2025
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1933 N MEACHAM RD STE 750
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City | SCHAUMBURG
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State | IL
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Zip | 60173-4368
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Country | US
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Telephone | 708-665-5170
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 DEEP WOODS DR
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City | ELGIN
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State | IL
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Zip | 60120-5044
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 071011474
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License Number State | IL
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