Richards, Jon M

Richards, Jon M is an individual health care provider with primary practice located at 1700 Luther Ln , Park Ridge IL 60068-1270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Richards, Jon M can be contacted via phone (847) 268-8200.

Contact Information

Primary practice address
1700 Luther Ln Park Ridge IL 60068-1270
Phone: (847) 268-8200
Fax: (847) 410-0051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036069241 Illinois

Profile Details

NPI number 1588624290
LBN Legal business name Richards, Jon M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2006
Last updated Dec 20th, 2021 - about 3 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 1588624290 NPPES
Illinois Other L79360 PIN
Illinois MEDICAID 036069241 PIN

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