Provider Demographics
NPI:1720014640
Name:RICHARD, MARGARET E (RN, APN)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:E
Last Name:RICHARD
Suffix:
Gender:F
Credentials:RN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2456 W WARNER AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-2812
Mailing Address - Country:US
Mailing Address - Phone:312-227-6547
Mailing Address - Fax:312-227-9405
Practice Address - Street 1:2300 N CHILDRENS PLZ
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60614-3363
Practice Address - Country:US
Practice Address - Phone:312-227-6547
Practice Address - Fax:312-227-9405
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-004155363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics