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General NPI Number Information
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NPI Number | 1740491331
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Entity Type | Individual
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Provider Name | ALLISON RUTH RITTMANN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1775 DEMPSTER ST LUTHERAN GENERAL HOSPITAL ATTN LISA SOCHA 6 SOUTH
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City | PARK RIDGE
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State | IL
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Zip | 60068-1143
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Country | US
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Telephone | 847-723-7969
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Fax |
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Provider Business Mailing Address
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Address Line | 2955 N ALBANY AVE
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City | CHICAGO
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State | IL
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Zip | 60618-7606
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Country | US
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Telephone | 773-539-8470
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036.117116
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License Number State | IL
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