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Richard Keller, M.D
NPI 1437145141 · on the registry since 2005 · sole proprietor
Practice
- Address
- 1738 Washington St
Waukegan, IL 60085 - Phone
- (847) 360-1019
- Organisation at this address
- The Illinois Medical Assistance Treatment Program Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Family Medicine Physician
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-01-22
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