Organization · NPI-2

Richard R. Keen, M.D., P.C.

· Oak Brook, IL

NPI number1174847032
StatusActive
Last updated in NPPESMar 23, 2010

Details

NPI
1174847032
Entity type
Organization (NPI-2)
Legal business name
Richard R. Keen, M.D., P.C.
Organization subpart
No
Enumeration date
Mar 22, 2010
Last updated
Mar 23, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X 036-074094ILYes

Practice location

2425 W 22nd St
Suite 211
Oak Brook, IL 60523-1247

Phone 630-575-8789 · Fax 630-575-0720

Mailing address

Po Box 608
Palos Park, IL 60464-0608

Phone 630-575-8789 · Fax 630-575-0720

Authorized official

Richard R. Keen
President
6305758789

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