# RICHARD R. KEEN, M.D., P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174847032
- **Authorized official:** DR. RICHARD R. KEEN M.D. (PRESIDENT)
- **Authorized official phone:** (630) 575-8789

## Contact information

- **Practice address:** 2425 W 22ND ST, SUITE 211, OAK BROOK, IL 60523-1247
- **Practice address phone:** (630) 575-8789
- **Practice address fax:** (630) 575-0720
- **Mailing address:** PO BOX 608, PALOS PARK, IL 60464-0608
- **Mailing address phone:** (630) 575-8789
- **Mailing address fax:** (630) 575-0720

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 036-074094 | IL | Yes |

## Other

- **Enumeration date:** 03/22/2010
- **Last updated:** 03/23/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036074094 | — | IL |