Organization
AAMG REACH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA RICHARDSON (ASSISTANT TREASURER)
(704) 631-0450
Entity
Organization
Contact information
Practice address
1357 W 103RD ST, CHICAGO, IL 60643-2392
(773) 238-0800
Mailing address
1357 W 103RD ST, CHICAGO, IL 60643-2392
(773) 238-0800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100224369
—
WI
Enumeration date
07/29/2022
Last updated
10/03/2025
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