| Jay Riseman MD Ltd | |
|
2524 Farragut Dr Suite C Springfield IL 62704-8400 | |
| (217) 546-8711 | |
| (217) 546-8720 |
| Full Name | Jay Riseman MD Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 2524 Farragut Dr, Springfield, Illinois |
| Authorized Official Name and Position | Jay a Riseman (OFFICER) |
| Authorized Official Contact | 2176298711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Riseman MD Ltd 2524 Farragut Dr Suite C Springfield IL 62704-8400 Ph: (217) 546-8711 | Jay Riseman MD Ltd 2524 Farragut Dr Suite C Springfield IL 62704-8400 Ph: (217) 546-8711 |
| NPI Number | 1508982299 |
|---|---|
| Provider Enumeration Date | 03/22/2007 |
| Last Update Date | 10/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508982299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| 208600000X | Surgery | (Illinois) | Secondary |
SIU Center for Family Medicine - Sangamon County Health Mobile Unit Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2833 S Grand Ave E, Springfield, IL 62703 Phone: 221-753-5310 Fax: 217-789-2069 |
Professional Services Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 N 1st St, Springfield, IL 62781 Phone: 217-788-3000 |
HSHS Medical Group Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3215 Executive Park Dr, Springfield, IL 62703 Phone: 217-523-5406 |
Michael Bova M D S C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2524 Farragut Dr, Suite C, Springfield, IL 62704 Phone: 217-726-9346 |
North Dirksen Medical Associates, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3220 Atlanta St, Springfield, IL 62707 Phone: 217-588-7400 |
SIU Physicians & Surgeons, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 701 N 1st St, D235, Springfield, IL 62781 Phone: 217-545-7578 Fax: 217-545-1884 |