Individual ProviderMarcie RichmondFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address14 Lake St, Oak Park, IL 60302-2606(708) 406-3940PECOS EnrollmentBased on the most recent information from CMS, provider Marcie Richmond is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1154752814Provider TypeIndividualFull NameRichmond, MarcieTitleDr.CredentialMD, MHSGenderFemaleSole ProprietorNoEnumeration Date12/6/2013Last Updated7/10/2020Contact InformationPractice LocationPractice Address14 Lake St, Oak Park, IL 60302-2606Phone(708) 406-3940FaxUnlisted FaxMailing LocationMailing Address14 Lake St, Oak Park, IL 60302-2606Phone(708) 406-3940FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense036.152086Illinois