Individual
CARRIE L RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1611 W HARRISON ST STE 510, CHICAGO, IL 60612-4861
(312) 563-2800
(312) 563-2075
Mailing address
1611 W HARRISON ST STE 510, CHICAGO, IL 60612-4861
(312) 563-2800
(312) 563-2075
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-145971
IL
207RR0500X
Rheumatology Physician
Primary
036-945971
IL
Other
Enumeration date
06/28/2012
Last updated
04/28/2021
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