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Organization
RICHARD M FARRELL, M.D., S.C.
Active
Organization
RICHARD M FARRELL, M.D., S.C.
Active
Other names
Farrell/Klenske Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD M FARRELL M.D. (PRESIDENT)
(708) 499-4190
Entity
Organization
Contact information
Practice address
5660 W 95TH ST, SUITE 2, OAK LAWN, IL 60453-2380
(708) 499-4190
(708) 857-4420
Mailing address
5660 W 95TH ST, SUITE 2, OAK LAWN, IL 60453-2380
(708) 499-4190
(708) 857-4420
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630146
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/20/2006
Last updated
08/22/2020
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