Rettig, Angelique S.

Rettig, Angelique S. is an individual health care provider with primary practice located at 900 N 1St , Springfield IL 62702-3749. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Rettig, Angelique S. can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
900 N 1St Springfield IL 62702-3749
Phone: (217) 528-7541
Fax: (217) 525-1007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036097765 Illinois

Profile Details

NPI number 1649268509
LBN Legal business name Rettig, Angelique S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated May 20th, 2020 - about 4 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 1649268509 NPPES
Illinois MEDICAID 036097765

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