Individual
DR. RICHARD PEARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
036098051
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098051-2
—
IL
01
—
7215166
BCBS
IL
Enumeration date
06/29/2006
Last updated
07/08/2007
Update your record
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