Individual
DR. RICHARD LYNN WIXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
680 N LAKE SHORE DR, STE 924, CHICAGO, IL 60611-4546
(312) 664-6848
Mailing address
680 N LAKE SHORE DR, STE 924, CHICAGO, IL 60611-4546
(312) 664-6848
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036056781
IL
Other
Enumeration date
02/09/2006
Last updated
02/16/2021
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