Richard Paul Driessnack is a Peoria, Illinois based male orthopedic surgeon who is specialized in Adult Reconstructive Orthopaedic Surgery. Active license number of Richard Paul Driessnack is 36077466 for Adult Reconstructive Orthopaedic Surgery in Illinois.
Richard Paul Driessnack deals with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures.
Complete Profile:
Richard Paul Driessnack speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Orthopedic - Adult Reconstructive Orthopaedic Surgery
Credentials:
M.D.
Gender:
Male
Practice Address:
303 N William Kumpf Blvd, Peoria, Illinois, 61605-2507
Phone:
309-676-5546
Fax:
309-676-5045
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1679573901
NPI Enumeration Date:
28 Jul, 2005
NPI Last Update On:
02 Nov, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Richard Paul Driessnack are as mentioned below.
License Number
Specialization
State
Status
36077466
Adult Reconstructive Orthopaedic Surgery
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Richard Paul Driessnack such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
36077466
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
303 N William Kumpf Blvd, Peoria, Illinois
Zip:
61605-2507
Phone Number:
309-676-5546
Fax Number:
309-676-5045
Patients can reach Richard Paul Driessnack at 303 N William Kumpf Blvd, Peoria, Illinois or can call to book an appointment on 309-676-5546. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.
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