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Individual

DR. JACOB M RICHEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4211 N CICERO AVE, CHICAGO, IL 60641-1651
(773) 202-8800
(773) 202-8810
Mailing address
4211 N CICERO AVE SUITE 301, CHICAGO, IL 60641-1651
(773) 202-8800
(773) 202-8810

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005679
IL

Other

Enumeration date
02/04/2013
Last updated
01/20/2016
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