Richardson, James A

Richardson, James A is an individual health care provider with primary practice located at 17800 Kedzie Ave , Hazel Crest IL 60429-2029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Richardson, James A can be contacted via phone (708) 213-4200.

Contact Information

Primary practice address
17800 Kedzie Ave Hazel Crest IL 60429-2029
Phone: (708) 213-4200
Fax: (708) 213-0144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-088445 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 82317 Georgia

Profile Details

NPI number 1790765584
LBN Legal business name Richardson, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Nov 18th, 2022 - about 4 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790765584 NPPES
Illinois Other 930036628 RAILROAD MEDICARE
Illinois MEDICAID 03608844502 RAILROAD MEDICARE
Illinois Other P00372589 RAILROAD MEDICARE

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