Severin, Richard

Severin, Richard is an individual health care provider with primary practice located at 1640 W Roosevelt Rd , Chicago IL 60608-1316. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Cardiopulmonary. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Cardiopulmonary is his primary health care specialty. Severin, Richard can be contacted via phone (312) 413-8043.

Contact Information

Primary practice address
1640 W Roosevelt Rd Chicago IL 60608-1316
Phone: (312) 413-8043
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070021127 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Cardiopulmonary 2251C2600X 070021127 Illinois

Profile Details

NPI number 1467888974
LBN Legal business name Severin, Richard
Credentials PT, DPT, PHD, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2013
Last updated Feb 21st, 2024 - about last year

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 1467888974 NPPES
Pennsylvania Other PT023081 PENNSYLVANNIA PT LICENSE NUMBER

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