Richard D Penn MD

NPI 1174688907 - Neurological Surgery - 207T00000X

NPI Details
NPI 1174688907
Gender Male
Enumeration Date 12/22/2006
Last Updated 08/23/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
4950 S CHICAGO BEACH DR
CHICAGO IL, 60615-3204, US
Phone (773) 947-9829
Fax
Business Location
4950 S CHICAGO BEACH DR
CHICAGO IL, 60615-3204, US
Phone (773) 947-9829
Fax
Toxanomy
Taxonomy Code 207T00000X
License State Illinois
License Number 036047712
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According to our database, Richard D Penn MD NPI is 1174688907, taxonomy code is 207T00000X and license number is 036047712, license state is located at Illinois. Richard D Penn MD physically located at 4950 S Chicago Beach Dr, Chicago IL, 60615-3204. NPI Number Richard D Penn MD has the Individual type.

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1174688907 NPI number is provided on an as is basis without warranty of any kind. 1174688907 is maintained by the National Plan & Provider Enumeration System. The contents of Richard D Penn MD are for informational purposes only.