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Specialty details in registry · Richton Park, IL

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At a glance

23025 Amber Ln, Richton Park, IL 60471-1281

NPPES record updated Dec 9, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

23025 Amber Ln
Richton Park, IL 60471-1281
Professional details: NPI, taxonomy & registry record
NPI1942806401
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
253Z00000X
Enumeration date
Dec 9, 2020
Record updated
Dec 9, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

253Z00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

23025 Amber Ln
Richton Park, IL 60471-1281
Phone
(575) 442-6572
Mailing address
23025 AMBER LN

RICHTON PARK, IL 604711281
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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