Individual
DR. NICOLE RICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
801 N CASS AVE, STE 150, WESTMONT, IL 60559-1162
(630) 268-0200
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036121400
IL
207RR0500X
Rheumatology Physician
Primary
036121400
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121400
—
IL
Enumeration date
06/23/2008
Last updated
08/18/2023
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