Lourdes Richardson, FNP-BC
Nurse Practitioner, Family in Oak Forest, IL. Individual provider (NPI-1).
NPI number1669916623
StatusActive
Last updated in NPPESMar 6, 2025
Details
- NPI
- 1669916623
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Lourdes Richardson
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 10, 2016
- Certification date
- Mar 6, 2025
- Last updated
- Mar 6, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209015247 | IL | Yes |
| 163W00000X | Registered Nurse | 041273555 | IL |
Practice location
6360 159th St Ste A-BOak Forest, IL 60452-2725
Phone 708-687-4620 · Fax 708-687-4625
Mailing address
22953 Toscana DrFrankfort, IL 60423-9056
Phone 708-351-9599
Other practice locations
1801 W Taylor St
Chicago, IL 60612-4795
Chicago, IL 60612-4795
Phone 312-996-7416
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