Phelps, Richard Ladd

Phelps, Richard Ladd is an individual health care provider with primary practice located at 201E Huron St 11-205 , Chicago IL 60611-2968. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Phelps, Richard Ladd can be contacted via phone (312) 926-3670.

Contact Information

Primary practice address
201E Huron St 11-205 Chicago IL 60611-2968
Phone: (312) 926-3670
Fax: (312) 926-3672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism 207RE0101X 036052170 Illinois

Profile Details

NPI number 1770537482
LBN Legal business name Phelps, Richard Ladd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 19th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1770537482 NPPES
Illinois MEDICAID 236052170

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