Search › Illinois › 207Q00000X
Fred Richardson, M.D
NPI 1194702092 · on the registry since 2005
Practice
- Address
- 904 Medical Park Dr
Suite 3
Effingham, IL 62401 - Phone
- (217) 540-2350
- Fax
- (217) 347-2323
- Organisation at this address
- Ruben Boyajian, Md
Dva Renal Healthcare IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 6
Additional practice sites
- 455 W Court St Ste 400, Kankakee, IL
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois