Basic Information
Provider Information
NPI: 1457566614
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RITZMAN
FirstName: PATRICIA
MiddleName: JEAN
NamePrefix: DR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 410 S HAGER AVE
Address2:  
City: BARRINGTON
State: IL
PostalCode: 600104107
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 410 S HAGER AVE
Address2:  
City: BARRINGTON
State: IL
PostalCode: 600104107
CountryCode: US
TelephoneNumber: 8473815599
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/11/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RH0002X36-51295ILY Allopathic & Osteopathic PhysiciansInternal MedicineHospice and Palliative Medicine

No ID Information.


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