Dr. James A Richardson, MD
Emergency Medicine in Hazel Crest, IL. Individual provider (NPI-1).
NPI number1790765584
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1790765584
- Entity type
- Individual (NPI-1)
- Name
- Dr. James A Richardson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 19, 2006
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - EMERGENCY MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 036-088445 | IL | Yes |
| 207P00000X | Emergency Medicine | 82317 | GA |
Practice location
17800 Kedzie AveHazel Crest, IL 60429-2029
Phone 708-213-4200 · Fax 708-213-0144
Mailing address
29373 Network PlChicago, IL 60673-1293
Phone 847-390-5900
Other practice locations
4800 Olde Towne Pkwy Ste 150a
Marietta, GA 30068-4357
Marietta, GA 30068-4357
Phone 770-509-1025 · Fax 770-509-1884
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Emergency Medicine Physician providers in Hazel Crest · All 554 providers in Hazel Crest
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