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General NPI Number Information
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NPI Number | 1275034746
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Entity Type | Organization
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Legal Business Name | RONALD J. ERCOLI, PSY.D., PLLC
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Dates
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Enumeration Date | 02/21/2018
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1000 HART RD STE 130
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City | BARRINGTON
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State | IL
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Zip | 60010-2668
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Country | US
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Telephone | 224-575-4124
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Fax | 847-737-5280
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Provider Business Mailing Address
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Address Line | 1000 HART RD STE 130
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City | BARRINGTON
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State | IL
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Zip | 60010-2668
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Country | US
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Telephone | 224-575-4124
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Fax | 847-737-5280
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Authorized Official
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Title or Position | PROVIDER
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Name | DR. RONALD J ERCOLI
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Credential | PSY.D.
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Telephone | 224-575-4124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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