Individual
ANNA MARIA C RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
750 FLETCHER DR, SUITE 105, ELGIN, IL 60123-4703
(847) 888-0663
(847) 888-2967
Mailing address
1505 MERIDIAN CT, BARTLETT, IL 60103
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070005488
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4532127
BCBS
—
Enumeration date
10/05/2006
Last updated
03/03/2009
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