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Richard K Freeman, MD

Thoracic Surgery (Cardiothoracic Vascular Surgery) in Maywood, IL. Individual provider (NPI-1).

NPI number1174542773
StatusActive
Last updated in NPPESMay 7, 2021

Details

NPI
1174542773
Entity type
Individual (NPI-1)
Name
Richard K Freeman
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jul 18, 2006
Certification date
May 7, 2021
Last updated
May 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)036151047ILYes
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)01054926AIN

Practice location

2160 S 1st Ave
Maywood, IL 60153-3328

Phone 708-216-9000

Mailing address

8840 Commerce Park Pl Ste E
Indianapolis, IN 46268-3129

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