Individual provider · Type 1 NPI

Richard Douglas Southgate, MD

Adult Reconstructive Orthopaedic Surgery Physician · Lake Forest, IL

NPI number 1720303308 Active

Practice location

1000 N Westmoreland Rd # LEVEL3
Lake Forest, IL 60045-1658

Fax (847) 535-8499

Other practice locations

  • 11782 SW Barnes Rd Ste 300, Portland, OR 97225-5933 · (503) 214-5200

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician 207X00000X142231 (CA)
Adult Reconstructive Orthopaedic Surgery Physician Primary 207XS0114X036162961 (IL)

Adult Reconstructive Orthopaedic Surgery Physician: Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.

11 other providers at this address

About NPI 1720303308

Richard Douglas Southgate, MD's National Provider Identifier is 1720303308, issued on Apr 7, 2010. The primary taxonomy on file is Adult Reconstructive Orthopaedic Surgery Physician (207XS0114X), and the practice location is in Lake Forest, IL. The record was last updated on Feb 2, 2023.