MICAH ROSE RICHARDSON

CHICAGO, IL
NPI1376004424
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207X00000X Orthopaedic Surgery
(Licence: IL  036173831)
Additional Taxonomies208600000X Surgery
(Licence: PA  MD478807)
207X00000X Orthopaedic Surgery
(Licence: IN  01095627A)
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery
(Licence: IL  036173831)
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery
(Licence: IN  01095627A)
390200000X Student in an Organized Health Care Education/Training Program
(Licence: PA  MT217723)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-29
Last Update Date2025-07-08
Business Address
Dr. MICAH ROSE RICHARDSON MD
1611 W HARRISON ST STE 400
CHICAGO, IL 60612-4861
Phone number: 877-632-6637
Mailing Address
Dr. MICAH ROSE RICHARDSON MD
PO BOX 735263
CHICAGO, IL 60673-5263
Phone number: 877-632-6637