Individual
DR. TIMOTHY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
2450 ASHBY AVE, BERKELEY, CA 94705-2067
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125067452
IL
Other
Enumeration date
06/30/2015
Last updated
07/17/2019
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