NPI 1003028150

Jill Wirth-Rissman, MD

Practitioner Sports Medicine (Family Medicine) Physician Washington, IL

Practice location

Address: 205 N Cummings Ln, Washington, IL 61571-2181
Phone: (309) 643-6210
Mailing address: 5100 Reliable Pkwy, Chicago, IL 60686-0001

Registered specialties

Sports Medicine (Family Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207QS0010X Licence 036119699 (IL)

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Registry record

NPI: 1003028150
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2007
Record last updated: 24 Jan 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.