Individual
DR. RICHARD LADD PHELPS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
201E HURON ST 11-205, CHICAGO, IL 60611-2968
(312) 926-3670
(312) 926-3672
Mailing address
201 E HURON ST 11 205, CHICAGO, IL 60611-2968
(312) 926-3670
(312) 926-3672
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036052170
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236052170
—
IL
Enumeration date
05/19/2006
Last updated
08/19/2015
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