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Individual

MRS. LOURDES RICHARDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
6360 159TH ST STE A-B, OAK FOREST, IL 60452-2725
(708) 687-4620
(708) 687-4625
Mailing address
22953 TOSCANA DR, FRANKFORT, IL 60423-9056
(708) 351-9599

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041273555
IL
363LF0000X
Family Nurse Practitioner
Primary
209015247
IL

Other

Enumeration date
12/10/2016
Last updated
03/06/2025
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