Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Riccio

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417797762

Jacob Riccio is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1620 W Harrison St
Chicago, IL 60612-3801
Phone: (888) 352-7874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1417797762
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 24, 2024
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024

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