Family Practice Specialist Sc

NPI 1740470715 - General Practice - 208D00000X

NPI Details
NPI 1740470715
Enumeration Date 07/26/2007
Last Updated 12/14/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD J RICHARD
Position PRESIDENT
Phone (847) 277-9700
Fax (847) 277-9708
Practice Location
22285 PEPPER ROAD
SUITE 211
LAKE BARRINGTON IL, 60010-0302, US
Phone (847) 277-9700
Fax (847) 277-9708
Business Location
22285 PEPPER ROAD
SUITE 211
LAKE BARRINGTON IL, 60010-0302, US
Phone (847) 277-9700
Fax (847) 277-9708
Toxanomy
Taxonomy Code 208D00000X
License State
License Number
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According to our database, Family Practice Specialist Sc NPI is 1740470715, taxonomy code is 208D00000X Family Practice Specialist Sc physically located at 22285 Pepper Road, Lake Barrington IL, 60010-0302. NPI Number 1033115704 has the healthcare provider type.

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1740470715 NPI number is provided on an as is basis without warranty of any kind. 1740470715 is maintained by the National Plan & Provider Enumeration System. The contents of Family Practice Specialist Sc are for informational purposes only.