Individual
KAYLA DANIELLE RICHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10604 SOUTHWEST HWY STE 107, CHICAGO RIDGE, IL 60415-2717
(708) 422-0636
Mailing address
6910 CREEKSIDE RD, DOWNERS GROVE, IL 60516-3433
(708) 308-5480
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.028568
IL
Other
Enumeration date
11/22/2023
Last updated
11/22/2023
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