Organization · Type 2 NPI

Richardson Psychiatric

Primary Care Nurse Practitioner · Chicago, IL

NPI number 1982168407 Active

Practice location

3660 N Lake Shore Dr Ste 201
Chicago, IL 60613-5302

Mailing address

5000 S East End Ave Apt 8B
Chicago, IL 60615-3173

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed
Primary Care Nurse Practitioner Primary 363LP2300XNone listed

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1982168407

Richardson Psychiatric's National Provider Identifier is 1982168407, issued on Jan 29, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Chicago, IL. The record was last updated on Jan 29, 2019.