Richardson, Peggy A

Richardson, Peggy A is an individual health care provider with primary practice located at 16918 S Oak Park Ave , Tinley Park IL 60477. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Richardson, Peggy A can be contacted via phone (708) 532-6868.

Contact Information

Primary practice address
16918 S Oak Park Ave Tinley Park IL 60477
Fax: (708) 633-0952
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Illinois

Profile Details

NPI number 1689732844
LBN Legal business name Richardson, Peggy A
Credentials DDS MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Jul 8th, 2007 - about 17 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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