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Contact Information

SUZETTE A ASTELL RICHARDSON, APRN
201 N RANDOLPH ST
CHAMPAIGN, IL61820-3935
 Phone: 877-726-6494
 Fax: 630-364-5741
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUZETTE A ASTELL RICHARDSON · (Female)

NPI Number 1326549387
Status Active
Credentials APRN (Advanced Practice Registered Nurse)
Entity Individual
Enumeration date 02/26/2018
Last updated 10/25/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 209017200
Hospital affiliation(s)
  • PROVENA UNITED SAMARITANS MEDCTR-LOGAN - (Acute Care)
    812 N LOGAN
    DANVILLE, IL 61832
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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