Individual
RICHARD L PLUMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
RUSH UNIVERSITY MEDICAL CENTER, 1653 W CONGRESS PARKWAY, CHICAGO, IL 60612-3800
(605) 215-2185
(605) 653-3226
Mailing address
RUSH UNIVERSITY MEDICAL CENTER, 1653 W CONGRESS PARKWAY, CHICAGO, IL 60612-3800
(605) 215-2185
(605) 653-3226
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10564
SD
207Q00000X
Family Medicine Physician
1119
SD
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
036.147372
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1119
DAKOTACARE
SD
01
—
1256
AVERA
SD
01
—
1565
MIDLANDS CHOICE
SD
01
—
28190
SANFORD HEALTH PLANS
SD
05
—
3971770
—
IA
01
—
4993464
BLUE CROSS BLUE SHIELD
SD
05
—
5602648
—
SD
05
—
882068600
—
MN
01
—
AH1801016438
PREFERRED ONE
SD
01
—
P00397642
RAILROAD MEDICARE
SD
Enumeration date
05/20/2006
Last updated
09/21/2018
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