person
Dr. Audrey C Richardson, MD
Family Medicine Physician in Wheaton, Illinois
NPI 1326031196

Audrey C Richardson is a Family Medicine Physician based in Wheaton, IL. Audrey C Richardson practices in Wheaton, IL and has the professional credentials of MD. The NPI Number for Audrey C Richardson is 1326031196 and holds a License No. 125043627 (Illinois).

The current practice location address for Audrey C Richardson is 1800 N Main St, Wheaton, IL and can be reached out via phone at 630-614-4960 and via fax at 630-682-3727.

Location: 1800 N Main St, Wheaton, IL, 60187-3112
person
Provider Profile Details
NPI Number
1326031196
Provider Name
Audrey C Richardson
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1800 N Main St, Wheaton, IL, 60187-3112
Phone Number
630-614-4960
Fax Number
630-682-3727
Provider Enumeration Date
08/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01245139 01 IL MEDICARE RAILROAD (INDIVIDUAL)
125043627 05 IL
CE8792 01 IL MEDICARE RAILROAD (GROUP)
036114931 01 IL MEDICAID
920540 01 IL MEDICARE (GROUP PTAN)
4301086494 05 MI
F400100134 01 IL MEDICARE (INDIVIDUAL PTAN)
institution
Provider Business Practice Location Address Details
Address
1800 N Main St
City
State
Zip
60187-3112
Phone Number
630-614-4960
Fax Number
630-682-3727
person
Provider Business Mailing Address Details
Address
1800 N Main St
City
State
Zip
60187-3112
Phone Number
630-614-4960
Fax Number
630-682-3727
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
License No.
125043627 (Illinois)
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.
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