Individual
RICHARD D PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4950 S CHICAGO BEACH DR, CHICAGO, IL 60615-3204
(773) 947-9829
Mailing address
4950 S CHICAGO BEACH DR, CHICAGO, IL 60615-3204
(773) 947-9829
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036047712
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036047712
—
IL
Enumeration date
12/22/2006
Last updated
08/23/2013
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