Individual
MICHELE RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1725 W HARRISON ST STE 1156, CHICAGO, IL 60612-3852
(312) 563-2762
Mailing address
1725 W HARRISON ST STE 1156, CHICAGO, IL 60612-3852
(312) 563-2762
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036-152953
IL
Other
Enumeration date
07/13/2013
Last updated
03/31/2022
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