Individual
ANNA M RICHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 N 4TH ST, SPRINGFIELD, IL 62702-5238
(217) 757-8100
(217) 757-8155
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-7578
(217) 545-1884
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036104084
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036104084
—
IL
Enumeration date
10/18/2005
Last updated
06/01/2011
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