Individual
DR. NWANNEKA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
510 BURNHAM AVE, CALUMET CITY, IL 60409-3401
(708) 862-0305
Mailing address
510 BURNHAM AVE, CALUMET CITY, IL 60409-3401
(708) 862-0305
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
036-102719
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-102719
—
IL
Enumeration date
06/01/2006
Last updated
04/12/2010
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