Herzing, Rita Joanne

Herzing, Rita Joanne is an individual health care provider with primary practice located at 430 Pennsylvania Ave Ste 310 , Glen Ellyn IL 60137-4464. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Herzing, Rita Joanne can be contacted via phone (630) 790-1792.

Contact Information

Primary practice address
430 Pennsylvania Ave Ste 310 Glen Ellyn IL 60137-4464
Phone: (630) 790-1792
Fax: (630) 545-7568
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036122493 Illinois

Profile Details

NPI number 1316103559
LBN Legal business name Herzing, Rita Joanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 6th, 2008
Last updated Aug 8th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316103559 NPPES
Illinois MEDICAID 036122493

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