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Individual

DR. RICHARD FAMULARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2625 CRESTWOOD LN, RIVERWOODS, IL 60015-1904
(847) 914-9621
Mailing address
2625 CRESTWOOD LN, RIVERWOODS, IL 60015-1904
(847) 914-9621

Taxonomy

Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036058287
IL

Other

Enumeration date
07/22/2008
Last updated
07/22/2008
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