Organization
RICHARD R. KEEN, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD R. KEEN M.D. (PRESIDENT)
(630) 575-8789
Entity
Organization
Contact information
Practice address
2425 W 22ND ST, SUITE 211, OAK BROOK, IL 60523-1247
(630) 575-8789
(630) 575-0720
Mailing address
PO BOX 608, PALOS PARK, IL 60464-0608
(630) 575-8789
(630) 575-0720
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
036-074094
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074094
—
IL
Enumeration date
03/22/2010
Last updated
03/23/2010
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