DR. GLEN L RICCA M.D.
NPI 1730134073
Family Medicine in Streator, IL

Active since May 24, 2006
109 E ELM ST, STREATOR, IL 61364(815) 672-4587(815) 673-3582 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Glen L Ricca M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEN L RICCA M.D. (NPI 1730134073) is an individual family medicine provider in Streator, Illinois, licensed in Illinois (036060768) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1730134073
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GLEN L RICCACredential: M.D.
Location Address109 E ELM STStreator, IL 61364-2223
Mailing Address109 E Elm StStreator, IL 61364-2223 · (815) 672-4587 · Fax (815) 673-3582
Fax(815) 673-3582
Sole ProprietorNo
Enumeration DateMay 24, 2006
Last NPPES UpdateMarch 10, 2011
NPI 1730134073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036060768
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

109 E ELM ST, Streator, IL 61364

Other Identifiers 1

Medicare UPIND14438IL

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
109 E ELM ST
STREATOR, IL 61364
Clinic/Center (Rural Health)
109 E ELM ST
STREATOR, IL 61364
Family Medicine
109 E ELM ST
STREATOR, IL 61364
Family Medicine
109 E ELM ST
STREATOR, IL 61364
Nurse Practitioner (Family)
109 E ELM ST
STREATOR, IL 61364

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Ricca's NPI number?

The NPI number for Glen Ricca is 1730134073. It was assigned to this individual provider in the NPPES registry on May 24, 2006.

Where is Glen Ricca located?

Glen Ricca practices at 109 E Elm St, Streator, IL 61364. The listed phone number is (815) 672-4587.

What is Glen Ricca's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Glen Ricca was last updated on March 10, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.