Edna Richard M D

LBN: Edna Richard M D
Edna Richard M D is an health care organization with primary practice located at 2525 S Michigan Ave B390, Chicago IL 60616-2333. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as the primary health care specialty. Edna Richard M D can be contacted via phone (312) 567-6691, or through Richard, Edna L via phone (312) 567-6691.

Contact Information

Primary practice address
2525 S Michigan Ave B390 Chicago IL 60616-2333
Phone: (312) 567-6691
Fax: (312) 328-7895
Website:
Map and Directions
Authorized official contact:
Name: Richard, Edna L Doctor of Medicine (MD)
Phone: (312) 567-6691

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X Illinois

Profile Details

NPI number 1841405396
LBN Legal business name Edna Richard M D
DBA Doing business as
Authorized official Richard, Edna L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 10th, 2007
Last updated Jan 30th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841405396 NPPES
Illinois Other 2160083333 BCBS PROVIDER ID

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