Individual
DR. DOMINICK RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1725 W HARRISON ST # 8-855, CHICAGO, IL 60612-3841
(312) 942-7100
Mailing address
1725 W HARRISON ST # 8-855, CHICAGO, IL 60612-3841
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125080512
IL
Other
Enumeration date
06/13/2022
Last updated
06/13/2022
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