Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036118527 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 036118527 | IL |
NPI | 1467501064 |
---|---|
Provider Name | Jonathan D Rich |
First Address | Chicago, IL 60611-2981 |
Second Address | Chicago, IL 60611-5969 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 07/02/2020 |