Richard Felicelda
Radiologic Technologist, Vascular Sonography in Chicago, IL. Individual provider (NPI-1).
NPI number1083095293
StatusActive
Last updated in NPPESJun 12, 2015
Details
- NPI
- 1083095293
- Entity type
- Individual (NPI-1)
- Name
- Richard Felicelda
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 12, 2015
- Last updated
- Jun 12, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2471V0105X | Radiologic Technologist, Vascular Sonography | – | – | Yes |
| 246XC2903X | Spec/Tech, Cardiovascular, Vascular Specialist | – | – | |
| 247100000X | Radiologic Technologist | – | – | |
| 2471C1101X | Radiologic Technologist, Cardiovascular-Interventional Technology | – | – | |
| 2471C3402X | Radiologic Technologist, Radiography | – | – |
Practice location
3510 W 79th StSuite 4
Chicago, IL 60652-1430
Phone 847-329-7500 · Fax 847-807-4403
Mailing address
3510 W 79th StSuite 4
Chicago, IL 60652-1430
Phone 847-329-7500 · Fax 847-807-4403
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