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NPI Profile for KIRK R RIDDLE in CHICAGO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1205387990 |
|
| Status | Active | |
| Credentials | LICENSED PROFESSIONA | |
| Entity | Individual | |
| Enumeration date | 10/18/2016 | |
| Last updated | 10/18/2016 - About 10 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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KIRK R RIDDLE
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KIRK R RIDDLE, LICENSED PROFESSIONA