Individual
DR. RICHARD HAMMOND COCKRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, MC 2050, CHICAGO, IL 60637-1447
(773) 834-0598
(773) 702-0840
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1061
(773) 702-0840
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036144680
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036144680
PHYSICIAN LICENSE NUMBER
IL
Enumeration date
06/10/2015
Last updated
09/26/2019
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