Individual
MRS. JEANMARIE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
72 N CHICAGO ST, JOLIET, IL 60432-4315
(815) 722-7000
(815) 722-7180
Mailing address
13937 W MEATH DR, HOMER GLEN, IL 60491-7704
(815) 722-7000
(815) 722-7180
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
IL
Other
Enumeration date
10/24/2006
Last updated
07/09/2007
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