Individual
BENNETT RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LAT, ATC
Contact information
Practice address
914 COUNTY ROAD 1500 E, CARMI, IL 62821-5610
(618) 616-0228
Mailing address
914 COUNTY ROAD 1500 E, CARMI, IL 62821-5610
(618) 616-0228
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
096.005655
IL
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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