Provider Demographics
NPI:1588681498
Name:PAGUIA, RICHARD ALBERT (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ALBERT
Last Name:PAGUIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 RANDALL RD STE 105
Mailing Address - Street 2:
Mailing Address - City:GENEVA
Mailing Address - State:IL
Mailing Address - Zip Code:60134-4219
Mailing Address - Country:US
Mailing Address - Phone:630-232-6111
Mailing Address - Fax:630-232-6175
Practice Address - Street 1:302 RANDALL RD STE 105
Practice Address - Street 2:
Practice Address - City:GENEVA
Practice Address - State:IL
Practice Address - Zip Code:60134-4219
Practice Address - Country:US
Practice Address - Phone:630-232-6111
Practice Address - Fax:630-232-6175
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2021-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036153597207RI0200X
ORMD190289207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV107735Medicare PIN
NVI52068Medicare UPIN