| Richard L Phelps Md Sc | |
|
201 E Huron St #11-205 Chicago IL 60611-3197 | |
| (312) 926-3670 | |
| (312) 926-3672 |
| Full Name | Richard L Phelps Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 201 E Huron St, Chicago, Illinois |
| Authorized Official Name and Position | Richard Laod Phelps (PRESIDENT) |
| Authorized Official Contact | 3129263670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard L Phelps Md Sc 201 E Huron St #11-205 Chicago IL 60611-3197 Ph: (312) 926-3670 | Richard L Phelps Md Sc 201 E Huron St #11-205 Chicago IL 60611-3197 Ph: (312) 926-3670 |
| NPI Number | 1437368636 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 3274689021 |
|---|---|
| Medicare Enrollment ID | O20090918000404 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437368636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Richard L Phelps |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770537482 PECOS PAC ID: 2567518319 Enrollment ID: I20090918000390 |
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