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Individual
DR. RICHARD M FARRELL
Active
Individual
DR. RICHARD M FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036-068003
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01630146
BLUE CROSS BLUE SHIELD
IL
05
—
036068003
—
IL
01
—
110221461
RR-MEDICARE
IL
Enumeration date
10/04/2006
Last updated
09/01/2023
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