Dr James A Richardson, MD | |
17800 Kedzie Ave, Hazel Crest, IL 60429-2029 | |
(708) 213-4200 | |
(708) 213-0144 |
Full Name | Dr James A Richardson |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 17800 Kedzie Ave, Hazel Crest, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790765584 | NPI | - | NPPES |
930036628 | Other | IL | RAILROAD MEDICARE |
03608844502 | Medicaid | IL | |
P00372589 | Other | IL | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-088445 (Illinois) | Primary |
207P00000X | Emergency Medicine | 82317 (Georgia) | Secondary |
Entity Name | Advocate Health And Hospitals Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700824455 PECOS PAC ID: 7810800935 Enrollment ID: O20031106000064 |
Mailing Address | Practice Location Address |
---|---|
Dr James A Richardson, MD 29373 Network Pl, Chicago, IL 60673-1293 Ph: (847) 390-5900 | Dr James A Richardson, MD 17800 Kedzie Ave, Hazel Crest, IL 60429-2029 Ph: (708) 213-4200 |
Dr. Ronald Lawton, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Emergency Department, Hazel Crest, IL 60429 Phone: 773-363-1090 | |
Lindy Triebes, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 | |
Veronica W Robinson, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 Fax: 708-213-0144 | |
Gameli Dekayie Bush, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144 | |
Dr. Nadija Mara Rieser, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-213-4200 Fax: 708-213-0144 | |
Zakia Haseena Ali, Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 17800 Kedzie Ave, Hazel Crest, IL 60429 Phone: 708-799-8000 Fax: 708-213-0144 | |
Stewart Reingold, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 17800 Kedzie Ave, Advocate South Suburban Hospital, Hazel Crest, IL 60429 Phone: 708-799-8000 |