Provider Demographics
NPI:1033128038
Name:RITCHIE, GAIL E (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:GAIL
Middle Name:E
Last Name:RITCHIE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15631 S 88TH AVE
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-7762
Mailing Address - Country:US
Mailing Address - Phone:708-460-9509
Mailing Address - Fax:
Practice Address - Street 1:15631 S 88TH AVE
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-7762
Practice Address - Country:US
Practice Address - Phone:708-460-9509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist