MISS MICHELLE R. RICHARDSON


Address: 4801 N Central Ave, Chicago, IL 60630-3211
Phone: 8663892727

MISS MICHELLE R. RICHARDSON (NPI# 1659688687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659688687
Entity Type Individual
Full Name MISS MICHELLE R. RICHARDSON
Credential FNP
Practice Address 4801 N Central Ave
Chicago
IL 60630-3211
Practice Telephone 8663892727
Practice Fax Number 4016529787
Mailing Telephone 8663892727
Mailing Fax Number 4016529787
Enumeration Date 2010-09-13
Last Update Date 2014-09-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209008301 IL Physician Assistants & Advanced Practice Nursing Providers

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1124480504 Michelle Richardson Counselor 9532 E 16 Frontage Rd, Ste. 100, Onalaska, WI 54650-6739 2016-03-24
1710387956 Michelle Richardson Social Worker 500 S 3rd Ave, Big Rapids, MI 49307-9501 2014-08-25
1790020964 Michelle Richardson Licensed Practical Nurse 2250 Wehrle Dr, Suite 1, Williamsville, NY 14221-7034 2012-11-29
1770854705 Michelle Richardson Counselor 715 Sw Ramsey Ave, Grants Pass, OR 97527-5500 2012-01-23

Office Location

Street Address 4801 N CENTRAL AVE
City CHICAGO
State IL
Zip Code 60630-3211

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932140803 Highland Park Cvs LLC Pharmacy 4801 N Central Ave, Chicago, IL 60630-3211 2006-06-09
1073905089 Shannon Pachnik Nurse Practitioner 4801 N Central Ave, Chicago, IL 60630-3211 2015-02-27
1487921987 Anne Konchan Nurse Practitioner 4801 N Central Ave, Chicago, IL 60630-3211 2011-11-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972116499 Highland Park Cvs LLC Durable Medical Equipment & Medical Supplies 4631 W Foster Ave, Chicago, IL 60630 2020-08-25
1811419476 Jill Swartzmiller Occupational Therapist 5248 N Liano Ave, Chicago, IL 60630 2017-07-14
1588193908 Vanessa Landa Behavior Technician 4831 N Mobile, Chicago, IL 60630 2017-06-08
1851753784 Claudia Melendez Counselor 4935 N Kedvale Ave., 1st Flr., Chicago, IL 60630 2016-03-21
1174983795 Cheryl Ann Howe Speech-Language Pathologist 4714 N. Laramie Ave., Chicago, IL 60630 2016-02-24
1740657055 Nihar Shah Pharmacist 4010 W Lawrence, Chicago, IL 60630 2015-08-24
1326450966 Robert E Placzek Dentist 5650 W. Lawrence Ave., Chicago, IL 60630 2014-06-02
1730426545 Violet Bernadet Mcguane Nurse Practitioner 4801 N Central, Chicago, IL 60630 2013-01-14
1639455231 Jinnah A Caluag Pharmacist 4010 W. Lawrence, Chicago, IL 60630 2011-10-26
1255616256 Marcus Kim Pharmacist 4010 W. Lawrence Ave, Chicago, IL 60630 2011-10-21
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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Competitor

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City CHICAGO
Zip Code 60630

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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