Powell, Richard Edward
Powell, Richard Edward is an sole proprietor health care provider with primary practice located at Salud Pediatrics 600 S. Randall Road Ste 220, Algonquin IL 60102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Powell, Richard Edward can be contacted via phone (847) 854-9402.Contact Information
Primary practice address
Salud Pediatrics 600 S. Randall Road Ste 220
Algonquin IL 60102
Phone: (847) 854-9402
Fax: (847) 854-9403
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036092870 | Illinois |
Profile Details
| NPI number | 1043277148 |
|---|---|
| LBN Legal business name | Powell, Richard Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 1st, 2006 |
| Last updated | Mar 7th, 2023 - 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 | 1043277148 | NPPES |
| Illinois | MEDICAID | 036092870 |
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