Provider Demographics
NPI:1700935210
Name:ERCOLI, RONALD J (PSYD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:J
Last Name:ERCOLI
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 HART RD STE 130
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:IL
Mailing Address - Zip Code:60010-2668
Mailing Address - Country:US
Mailing Address - Phone:224-575-4124
Mailing Address - Fax:847-737-5280
Practice Address - Street 1:1000 HART RD STE 130
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:IL
Practice Address - Zip Code:60010-2668
Practice Address - Country:US
Practice Address - Phone:224-575-4124
Practice Address - Fax:847-737-5280
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-005554103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical