Individual
RICHARD EDWARD POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
SALUD PEDIATRICS, 600 S. RANDALL ROAD STE 220, ALGONQUIN, IL 60102
(847) 854-9402
(847) 854-9403
Mailing address
1201 S PRAIRIE AVE APT 4604, CHICAGO, IL 60605-3553
(312) 203-0708
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036092870
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036092870
—
IL
Enumeration date
05/01/2006
Last updated
03/07/2023
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