Organization
COMMUNITY HEALTH SERVICES, SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH RICHMOND M.D. (PRESIDENT)
(702) 533-9304
Entity
Organization
Contact information
Practice address
808 N ROUTE 59, AURORA, IL 60504-4912
(630) 236-6123
(630) 236-6133
Mailing address
2685 S RAINBOW BLVD, SUITE 112, LAS VEGAS, NV 89146-5182
(702) 562-0458
(702) 562-9587
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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