Richardson, Brent E
Richardson, Brent E is an individual health care provider with primary practice located at 3010 Highland Pkwy Ste 250 , Downers Grove IL 60515-5545. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Richardson, Brent E can be contacted via phone (630) 724-1100.Contact Information
Primary practice address
3010 Highland Pkwy Ste 250
Downers Grove IL 60515-5545
Phone: (630) 724-1100
Fax: (630) 724-0084
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 036092502 | Illinois |
Profile Details
| NPI number | 1942399225 |
|---|---|
| LBN Legal business name | Richardson, Brent E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Feb 5th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942399225 | NPPES |
| Illinois | MEDICAID | 9000841524206 |
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