MEDICARE: DR. MICHAEL JAMES RIERMAIER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0000X	Obstetrics Physician	363816770	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376650135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JAMES RIERMAIER M.D.

Provider Business Mailing Address
First Line	:	1435 N RANDALL RD STE 304
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60123-2304
Country	:	US
Telephone Number	:	847-697-7722
Fax Number	:	847-697-7896

Provider Business Practice Location Address
First Line	:	1435 N RANDALL RD STE 304
Second Line	:
City	:	ELGIN
State	:	IL
Zip	:	60123-2304
Country	:	US
Telephone Number	:	847-697-7722
Fax Number	:	847-697-7896

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	09/18/2012

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