Southgate, Richard Douglas

Southgate, Richard Douglas is an individual health care provider with primary practice located at 1000 N Westmoreland Rd # Level3 , Lake Forest IL 60045-1658. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery is his primary health care specialty. Southgate, Richard Douglas can be contacted via phone (847) 535-8500.

Contact Information

Primary practice address
1000 N Westmoreland Rd # Level3 Lake Forest IL 60045-1658
Phone: (847) 535-8500
Fax: (847) 535-8499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 142231 California
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 036162961 Illinois

Profile Details

NPI number 1720303308
LBN Legal business name Southgate, Richard Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2010
Last updated Feb 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720303308 NPPES
Oregon Other MD184629 OR MEDICAL LICENSE

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