Individual
BRIAN JON RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
3233 N ARLINGTON HEIGHTS RD, SUITE 301B, ARLINGTON HEIGHTS, IL 60004-1557
(847) 222-0793
(847) 222-9769
Mailing address
3233 N ARLINGTON HEIGHTS RD, SUITE 301B, ARLINGTON HEIGHTS, IL 60004-1557
(847) 222-0793
(847) 222-9769
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071004102
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213503
MEDICARE ID
IL
Enumeration date
04/03/2006
Last updated
03/19/2008
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