Most Relevant Information
Provider Data
| NPI Number: | 1003532706 |
| Provider Name: | RICHARD CHARLES DICKINSON EDD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/13/2022 |
| Last Updated: | 10/13/2022 |
Provider Practice Location
1136 S DELANO CT W
CHICAGO
IL
606053740
Practice Location Phone/Fax
| Phone: | 7738283747 |
| Fax: |
Provider Mailing Location
4135 N DRAKE AVE
CHICAGO
IL
606182211
Provider Mailing Phone/Fax
| Phone: | 7732519070 |
| Fax: |