| Jill Wirth-rissman, MD | |
|
205 N Cummings Ln, Washington, IL 61571-2181 | |
| (309) 643-6210 | |
| Not Available |
| Full Name | Jill Wirth-rissman |
|---|---|
| Gender | Female |
| Speciality | Family Medicine - Sports Medicine |
| Location | 205 N Cummings Ln, Washington, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003028150 | NPI | - | NPPES |
| 036119699 | Other | IL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QS0010X | Family Medicine - Sports Medicine | 036119699 (Illinois) | Primary |
| Entity Name | Methodist Medical Center Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982656575 PECOS PAC ID: 1355259714 Enrollment ID: O20031126000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Jill Wirth-rissman, MD 5100 Reliable Pkwy, Chicago, IL 60686-0001 Ph: (309) 672-4809 | Jill Wirth-rissman, MD 205 N Cummings Ln, Washington, IL 61571-2181 Ph: (309) 643-6210 |
Dr. James F. Hensold, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1201 N Cummings Ln, Washington, IL 61571 Phone: 309-444-2090 | |
Leah Embree, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10 Saint Clare Ct Ste 100, Washington, IL 61571 Phone: 309-886-4000 Fax: 309-886-4101 | |
Lee T Kinsinger, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 201 N Cummings Ln, Washington, IL 61571 Phone: 309-444-3627 Fax: 309-444-7158 | |
Dr. Ryan Daniel Schmidgall, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 50 Valley Forge Rd, Washington, IL 61571 Phone: 309-444-8447 Fax: 309-444-2003 | |
Dr. Philip Henry Baer, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 Valley Forge Rd, Washington, IL 61571 Phone: 309-444-8447 Fax: 309-444-2003 | |
Dr. Anthony John Cutinello Jr., D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 10 Saint Clare Ct Ste 100, Washington, IL 61571 Phone: 309-886-4000 |