Individual
JULIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
375 N WALL ST, KANKAKEE, IL 60901-3483
(815) 933-8020
Mailing address
375 N WALL ST, KANKAKEE, IL 60901-3483
(815) 933-8020
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209013639
IL
Other
Enumeration date
01/20/2016
Last updated
09/16/2021
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