Provider Demographics
NPI:1447646583
Name:RICKS SERVICES INCORPORATED
Entity type:Organization
Organization Name:RICKS SERVICES INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:JULIUS
Authorized Official - Last Name:RICKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-386-6607
Mailing Address - Street 1:1715 E 55TH ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60615-5954
Mailing Address - Country:US
Mailing Address - Phone:773-653-2626
Mailing Address - Fax:800-317-0761
Practice Address - Street 1:1715 E 55TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60615-5954
Practice Address - Country:US
Practice Address - Phone:773-653-2626
Practice Address - Fax:800-317-0761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL3000780253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care