Individual
MRS. MAUREEN S RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4314 W CRYSTAL LAKE RD, SUITE B, MCHENRY, IL 60050-4211
(815) 363-8866
(815) 363-8866
Mailing address
4314 W CRYSTAL LAKE RD, SUITE B, MCHENRY, IL 60050-4211
(815) 363-8866
(815) 363-8866
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36-4266575
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05600304
BCBS
IL
Enumeration date
12/19/2006
Last updated
01/14/2008
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