Individual
DR. RAYMOND MICHAEL WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.N.
Contact information
Practice address
5510 N MENARD AVE, CHICAGO, IL 60630-1202
(773) 792-1288
(773) 792-6039
Mailing address
5510 N MENARD AVE, CHICAGO, IL 60630-1202
(773) 792-1288
(773) 792-6039
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001625441
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/04/2007
Last updated
07/08/2007
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