Individual
G WENDELL RICHMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
908 N ELM ST, SUITE 205, HINSDALE, IL 60521-3635
(630) 455-0456
Mailing address
908 N ELM ST, SUITE 205, HINSDALE, IL 60521-3635
(630) 455-0456
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
036056538
IL
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
036056538
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
036-056538
IL
Other
Enumeration date
07/19/2006
Last updated
04/05/2022
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