Most Relevant Information
Provider Data
| NPI Number: | 1003351008 |
| Provider Name: | PATRICIA RICHARDSON ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 2601000783 |
Most Important Dates
| Enumeration Date: | 12/29/2016 |
| Last Updated: | 12/29/2016 |
Provider Practice Location
790 REMINGTON BLVD
BOLINGBROOK
IL
604404909
Practice Location Phone/Fax
| Phone: | 6302962222 |
| Fax: |
Provider Mailing Location
8629 TAMARACK DR
BRIGHTON
MI
481165118
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |