Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. RICHARD DOUGLAS SOUTHGATE, M.D.
ActiveDR. RICHARD DOUGLAS SOUTHGATE, M.D. is a Sports Medicine (Orthopaedic) healthcare provider located in LAKE FOREST, Illinois. NPI 1720303308 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (Orthopaedic) · LAKE FOREST, IL
Registration Details
- NPI Number
- 1720303308
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 7, 2010 (16.401627162206 yrs)
- Last Updated
- Feb 2, 2023
- Licenses
-
142231 (CA)036162961 (IL)
Practice Information
- Address
-
1000 N WESTMORELAND RD # LEVEL3LAKE FOREST, IL, 600451658Browse IL providers · Browse ZIP 60045
- Phone
- 8475358500
- Fax
- 8475358499
- Primary Specialty
-
Sports Medicine (Orthopaedic)
207XS0114X
- Additional Specialty
- Sports Medicine (Orthopaedic)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.