Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thomas Richey

Individual provider Registered Nurse · NPI 1639064710

Thomas Richey is a Nurse Practitioner in Evanston, Illinois. Qualified in 2025, 1 year ago. Practices with Erie Family Health Center, Inc, a 142-clinician group and accepts Medicare assignment. Licensed in Georgia and Illinois.

Years since qualifying
1
Licensed in
GA, IL
In the registry since
2025
Specialties on file
3
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Practice location Address checks out

1285 Hartrey Ave
Evanston, IL 60202-1056
Phone: (847) 666-3494
Fax: (847) 868-8999
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209.032907 (IL)
Registered Nurse Taxonomy 163W00000X · Licence RN277604 (GA)
Registered Nurse Taxonomy 163W00000X · Licence 041.589724 (IL)

Record details

NPI number1639064710
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 10, 2025
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address6720 N Damen Ave Apt 1b, Chicago, IL 60645-4978

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Erie Family Health Center, Inc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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