Rissman, Cody Michael

Rissman, Cody Michael is an sole proprietor health care provider with primary practice located at 676 N Saint Clair St Ste 800 , Chicago IL 60611-2978. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Rissman, Cody Michael can be contacted via phone (317) 274-4966.

Contact Information

Primary practice address
676 N Saint Clair St Ste 800 Chicago IL 60611-2978
Phone: (317) 274-4966
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 036.159584 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X 11019557A Indiana
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 036159584 Illinois

Profile Details

NPI number 1144750456
LBN Legal business name Rissman, Cody Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2017
Last updated Mar 29th, 2022 - 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 1144750456 NPPES
Indiana Other 11019557A MEDICAL RESIDENCY PERMIT

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