Individual
FRED RICHARDSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
904 MEDICAL PARK DR, SUITE 3, EFFINGHAM, IL 62401-2193
(217) 540-2350
(217) 347-2323
Mailing address
904 MEDICAL PARK DR, SUITE 3, EFFINGHAM, IL 62401-2193
(217) 540-2350
(217) 347-2323
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036078174
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078174
—
IL
Enumeration date
12/30/2005
Last updated
04/01/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us