Provider Demographics
NPI:1477709665
Name:TRICOUNTY AMBULATORY CENTER, P.C.
Entity Type:Organization
Organization Name:TRICOUNTY AMBULATORY CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:F
Authorized Official - Last Name:RAPPETTE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:630-553-9300
Mailing Address - Street 1:654 W VETERANS PKWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:YORKVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60560-4567
Mailing Address - Country:US
Mailing Address - Phone:630-553-9300
Mailing Address - Fax:630-553-9306
Practice Address - Street 1:654 W VETERANS PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:YORKVILLE
Practice Address - State:IL
Practice Address - Zip Code:60560-4567
Practice Address - Country:US
Practice Address - Phone:630-553-9300
Practice Address - Fax:630-553-9306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-07
Last Update Date:2008-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric