Individual
MS. JAMIE L RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-6949
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-6949
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036.139540
IL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036.139540
IL
Other
Enumeration date
06/13/2013
Last updated
02/23/2024
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