Antoinette Risdon Md Sc

LBN: Antoinette Risdon Md Sc
Antoinette Risdon Md Sc is an health care organization with primary practice located at 4711 W Golf Rd Suite 400, Skokie IL 60076. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Antoinette Risdon Md Sc can be contacted via phone (847) 679-3079, or through Risdon, Antionette via phone (847) 679-3079.

Contact Information

Primary practice address
4711 W Golf Rd Suite 400 Skokie IL 60076
Phone: (847) 679-3079
Fax: (847) 679-8340
Website:
Map and Directions
Authorized official contact:
Name: Risdon, Antionette Doctor of Medicine (MD)
Phone: (847) 679-3079

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1255442158
LBN Legal business name Antoinette Risdon Md Sc
DBA Doing business as
Authorized official Risdon, Antionette Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255442158 NPPES
Illinois Other 31602774 BC BS

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