Individual
DR. LOREN W. RICHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2205 WABASH AVE, SUITE 107, SPRINGFIELD, IL 62704-5354
(217) 698-2779
(217) 698-7504
Mailing address
2205 WABASH AVE, SUITE 107, SPRINGFIELD, IL 62704-5354
(217) 698-2779
(217) 698-7504
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008580
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00344945
RAILROAD MEDICARE
IL
Enumeration date
07/19/2006
Last updated
10/02/2013
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