Individual
RICHARD MCCOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2079 EDGEWATER DR, NORTH PEKIN, IL 61554-7833
(309) 382-2006
(309) 382-2007
Mailing address
2323 WINDISH DR, GALESBURG, IL 61401-9780
(309) 344-4250
(309) 344-4368
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041-361204
IL
Other
Enumeration date
11/23/2009
Last updated
11/23/2009
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