Keller, Richard Loran

Keller, Richard Loran is an sole proprietor health care provider with primary practice located at 1738 Washington St , Waukegan IL 60085-5137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keller, Richard Loran can be contacted via phone (847) 360-1019.

Contact Information

Primary practice address
1738 Washington St Waukegan IL 60085-5137
Phone: (847) 360-1019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036078718 Illinois

Profile Details

NPI number 1437145141
LBN Legal business name Keller, Richard Loran
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Jan 22nd, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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