Provider Demographics
NPI:1841213725
Name:KATZ, RICHARD I (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:I
Last Name:KATZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8901 GOLF RD
Mailing Address - Street 2:# 300
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6850
Mailing Address - Country:US
Mailing Address - Phone:847-834-3127
Mailing Address - Fax:847-824-3347
Practice Address - Street 1:8901 W GOLF RD
Practice Address - Street 2:# 300
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016
Practice Address - Country:US
Practice Address - Phone:847-834-3127
Practice Address - Fax:847-824-3347
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036042572207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL5633OtherADVOCATE HEALTH
IL036042572Medicaid
IL0338490001OtherADMINISTAR FEDERAL
IL611090Medicare PIN
IL036042572Medicaid