Jill Wirth-Rissman in Chicago - Sports Medicine

Jill Wirth-Rissman - NPI 1003028150

Jill Wirth-Rissman is a Sports Medicine in Chicago, Illinois. Jill Wirth-Rissman practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jill Wirth-Rissman is 1003028150. The last update date is 2020-01-24.

Jill Wirth-Rissman's current location address is 5100 Reliable Pkwy, Chicago, Illinois. You can contact this provider via phone number 3096724809. The mailing address for Jill Wirth-Rissman is 5100 Reliable Pkwy, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Jill Wirth-Rissman
Address 5100 Reliable Pkwy, Chicago, Illinois
Phone Number 3096724809
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1003028150
Provider Enumeration Date 2007-05-03
Last Updated Date 2020-01-24

Provider Mailing Address Detail

Address 5100 Reliable Pkwy
City Chicago
State Illinois (IL)
Post Code 606860001
Phone Number 3096724809
Fax Number

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 36119699
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
36119699 IL LICENSE

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FAQs about Jill Wirth-Rissman

What is the unique identifier code issued to Jill Wirth-Rissman by the Centers for Medicare & Medicaid Services (CMS)?

The Jill Wirth-Rissman has been assigned the NPI (National Provider Identifier) 1003028150. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete address where Jill Wirth-Rissman is physically located?

The Jill Wirth-Rissman is situated at the following address: 5100 Reliable Pkwy, Chicago, IL 606860001.

What is Jill Wirth-Rissman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jill Wirth-Rissman is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs0010X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1003028150 to Jill Wirth-Rissman?

The Centers for Medicare & Medicaid Services originally issued the 1003028150 to Jill Wirth-Rissman on 2007-05-03.

When was the information regarding Jill Wirth-Rissman, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jill Wirth-Rissman, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-01-24.

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