Judith Elen Ritholz
Pulmonary Disease Critical Care Medicine and 1 more
2754 N Hampden Ct Apt 1906
Chicago
, Illinois 60614-4837
Judith Elen Ritholz
Pulmonary Disease Critical Care Medicine and 1 more
2754 N Hampden Ct Apt 1906
Chicago
, Illinois 60614-4837
(312) 618-4369
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About
Features
Specialties
- Critical Care Medicine
- Pulmonary Disease
Languages spoken
- English
Location
First Address
- Judith Elen Ritholz
- 2754 N Hampden Ct Apt 1906
- Chicago, IL
- Zip : 60614-4837
- Phone : (312) 618-4369
Second Address
- Judith Elen Ritholz
- 2754 N Hampden Ct Apt 1906
- Chicago, IL
- Zip : 60614-4837
- Phone : (312) 618-4369
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0200X | Critical Care Medicine | 01074611A | IN |
| N | 207RC0200X | Critical Care Medicine | 35134274 | OH |
| N | 207RC0200X | Critical Care Medicine | 4301084838 | MI |
| N | 207RP1001X | Pulmonary Disease | 01074611A | IN |
| Y | 207RP1001X | Pulmonary Disease | 036087847 | IL |
National Provider Identifier
| NPI | 1043247042 |
|---|---|
| Provider Name | Judith Elen Ritholz |
| First Address | Chicago, IL 60614-4837 |
| Second Address | Chicago, IL 60614-4837 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2006 |
| Last Update Date | 28/02/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000001009771 | ANTHEM PROVIDER NUMBER (01) | IN |
| 11011-1057-1 | BLUE CROSS PIN (01) | MI |
| 1538397120 | NPI- GROUP (01) | MI |
| 201352220 | (05) | IN |
| 270381199 | TAX ID (01) | MI |
| 4685036 | (05) | MI |
| BR3998260 | DEA (01) | MI |
| F92160 | (02) | |
| P00874060 | RR MEDICARE (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.