Individual
DR. MARCIE RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MHS
Contact information
Practice address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 406-3940
Mailing address
14 LAKE ST, OAK PARK, IL 60302-2606
(708) 406-3940
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.152086
IL
Other
Enumeration date
12/06/2013
Last updated
07/10/2020
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