Richter, Stasia E
Richter, Stasia E is an individual health care provider with primary practice located at 1725 W Harrison St Ste 318 , Chicago IL 60612-3817. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Richter, Stasia E can be contacted via phone (312) 942-6647.Contact Information
Primary practice address
1725 W Harrison St Ste 318
Chicago IL 60612-3817
Phone: (312) 942-6647
Fax: (312) 942-3730
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036075143 | Illinois |
Profile Details
| NPI number | 1508869744 |
|---|---|
| LBN Legal business name | Richter, Stasia E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Sep 8th, 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 | 1508869744 | NPPES |
| Illinois | MEDICAID | 036075143 |
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