Krueger, Richard C
Krueger, Richard C is an individual health care provider with primary practice located at 2836 W 98Th Pl , Evergreen Park IL 60805-2613. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Krueger, Richard C can be contacted via phone (505) 506-1090.Contact Information
Primary practice address
2836 W 98Th Pl
Evergreen Park IL 60805-2613
Phone: (505) 506-1090
Fax: (888) 734-8467
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD2006-0698 | New Mexico |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 036.084830 | Illinois |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD 60132358 | Washington |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 01069425A | Indiana |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 28859 | Oklahoma |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 2012003667 | Missouri |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 21987 | Mississippi |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | G85014 | California |
Profile Details
| NPI number | 1497784862 |
|---|---|
| LBN Legal business name | Krueger, Richard C |
| Credentials | M.D., PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Sep 20th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497784862 | NPPES |
| Indiana | MEDICAID | 201046030 | |
| Indiana | MEDICAID | 75929856 | |
| Indiana | Other | 000000745199 |
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