ROSALINE RICHARDSON NPI 1790297463

NPI Information

  • NPI: 1790297463
  • Provider Name: ROSALINE RICHARDSON
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4560 WINDSOR CT
    RICHTON PARK, IL
    ZIP 60471
  • Phone: (708) 314-1586

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NPI Details

Rosaline Richardson is a family nurse practitioner in Richton Park, IL. Rosaline Richardson NPI is 1790297463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4560 WINDSOR CT
RICHTON PARK, IL
ZIP 60471-130
Phone: (708) 314-1586

The NPI 1790297463 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/2/2017 and was last updated on 11/2/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209016860ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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