Provider Demographics
NPI:1366958712
Name:RICHMAN, RUTH (LSW)
Entity type:Individual
Prefix:
First Name:RUTH
Middle Name:
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 THAYER ST
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1412
Mailing Address - Country:US
Mailing Address - Phone:847-866-8225
Mailing Address - Fax:
Practice Address - Street 1:122 S MICHIGAN AVE STE 1300
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-6184
Practice Address - Country:US
Practice Address - Phone:312-922-7474
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.102775104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker