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DENNIS ALEXANDER RICHRATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APN

Contact information

Practice address
1001 MAIN ST, PEORIA, IL 61606-1907
(217) 528-7541
Mailing address
PO BOX 19248, SPRINGFIELD, IL 62794-9248
(217) 528-7541

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209014765
IL

Other

Enumeration date
08/30/2016
Last updated
12/19/2024
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