Wirth-Rissman, Jill
Wirth-Rissman, Jill is an individual health care provider with primary practice located at 205 N Cummings Ln , Washington IL 61571-2181. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Wirth-Rissman, Jill can be contacted via phone (309) 643-6210.Contact Information
Primary practice address
205 N Cummings Ln
Washington IL 61571-2181
Phone: (309) 643-6210
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 036119699 | Illinois |
Profile Details
| NPI number | 1003028150 |
|---|---|
| LBN Legal business name | Wirth-Rissman, Jill |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 3rd, 2007 |
| Last updated | Jan 24th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003028150 | NPPES |
| Illinois | Other | 036119699 | LICENSE |
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