Healthcare Provider Details
I. General information
NPI: 1447321526
Provider Name (Legal Business Name): KATHLEEN ANN RITGER M.D., M.P.H.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/12/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
160 N LA SALLE ST 7TH FLOOR SOUTH
CHICAGO IL
60601-3103
US
IV. Provider business mailing address
1321 W HOOD AVE # 2
CHICAGO IL
60660-2507
US
V. Phone/Fax
- Phone: 312-814-4846
- Fax:
- Phone: 773-856-5308
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | IL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: