institution
Richardson Psychiatric
Primary Care Nurse Practitioner in Chicago, Illinois
NPI 1982168407

Richardson Psychiatric is a Primary Care Nurse Practitioner based in Chicago, IL and is specialized in Primary Care. Richardson Psychiatric practices in Chicago, IL. The NPI Number for Richardson Psychiatric is 1982168407 and holds a License No. (Illinois).

The current practice location address for Richardson Psychiatric is 3660 N Lake Shore Dr Ste 201, Chicago, IL and can be reached out via phone at 773-599-9246.

Location: 3660 N Lake Shore Dr Ste 201, Chicago, IL, 60615-3173
institution
Provider Profile Details
NPI Number
1982168407
Provider Name
Richardson Psychiatric
Credential
Provider Entity Type
Organization
Address
3660 N Lake Shore Dr Ste 201, Chicago, IL, 60615-3173
Phone Number
773-599-9246
Fax Number
Provider Enumeration Date
01/29/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1144639527 01 BLUE CROSS BLUE SHIELD
1144639527 01 CIGNA
1144639527 01 AETNA
institution
Provider Business Practice Location Address Details
Address
3660 N Lake Shore Dr Ste 201
City
State
Zip
60613-5302
Phone Number
773-599-9246
Fax Number
person
Provider Business Mailing Address Details
Address
3660 N Lake Shore Dr Ste 201
City
State
Zip
60613-5302
Phone Number
773-599-9246
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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