Individual
AIDA IBRICEVIC RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
(312) 227-9409
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-4000
(312) 227-9409
Taxonomy
Speciality
Code
Description
License number
State
207ZP0213X
Pediatric Pathology Physician
Primary
036149365
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2013
Last updated
08/09/2019
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