Doctor Name: | DR. RICHARD ALAN STRNAD |
NPI Number: | 1235197385 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO10 |
License Number: | |
Business Practice Address: | 2410 Sampson St Great Lakes, IL - 600882942 |
Business Phone Number: | 8476885556 |
Business Fax Number: | 8476882512 |
Mailing Address: | 6105 Club House Ct, GURNEE |
State: | IL |
Postal Code: | 600314723 |
Phone Number: | 8478167014 |
Fax Number: | 8476882512 |
NPI Enumeration Date: | 05/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |