Individual
RICHARD RUSSELL SYMANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
150 W HIGH ST, MORRIS, IL 60450-1463
(800) 379-8731
Mailing address
39798 TREASURY CTR, CHICAGO, IL 60694-9700
(800) 379-8731
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036120718
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120718
—
IL
Enumeration date
05/14/2008
Last updated
03/24/2014
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