Individual
MARIE P RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2202 HARLEM RD STE 200, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 654-5342
Mailing address
2202 HARLEM RD STE 200, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 654-5342
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036148817
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1015763
PHYSICIANS PLUS
—
01
—
12330
DEAN HEALTH PLAN
—
01
—
32041400
HIRSP
—
05
—
32041400
—
WI
01
—
390808509
CIGNA
—
01
—
50072962
MEDICARE RAILROAD
—
01
—
690004890
MEDICARE RAILROAD
—
01
—
90002361
WEA INS
—
Enumeration date
11/20/2006
Last updated
04/08/2020
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