Individual
RICHARD K FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
8840 COMMERCE PARK PL STE E, INDIANAPOLIS, IN 46268-3129
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01054926A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036151047
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000204140
BCBS PIN
—
05
—
200390040A
—
IN
01
—
330005671
RAILROAD MEDICARE
—
Enumeration date
07/18/2006
Last updated
05/07/2021
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