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NPI Code Detail

MEDICARE: STUART RICH MD

MEDICARE: STUART RICH MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician036056715IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336202852
Entity Type Code : Individual
Provider Name (Legal Business Name) : STUART RICH MD
Provider Business Mailing Address
First Line : 675 N SAINT CLAIR ST STE 19-100
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5969
Country : US
Telephone Number : 312-664-3278
Fax Number : 312-695-0063
Provider Business Practice Location Address
First Line : 675 N SAINT CLAIR ST STE 19-100
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5969
Country : US
Telephone Number : 312-664-3278
Fax Number : 312-695-0063
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2006
Last Update Date : 02/04/2020

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Directions to “ STUART RICH MD” Practice Location

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