Provider Demographics
NPI:1275034746
Name:RONALD J. ERCOLI, PSY.D., PLLC
Entity type:Organization
Organization Name:RONALD J. ERCOLI, PSY.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:J
Authorized Official - Last Name:ERCOLI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:224-575-4124
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-21
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty