Jay Riseman MD Ltd
Jay Riseman MD Ltd is a Family Medicine Physician in Springfield, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
- Specialties on file
- 2
What do these letters mean?
- Ltd — Limited
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2524 Farragut Dr Ste CSpringfield, IL 62704-8400
Phone: (217) 546-8711
Fax: (217) 546-8720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X (IL) |
|---|---|
| Surgery Physician | Taxonomy 208600000X (IL) |
Record details
| NPI number | 1508982299 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jay Riseman — Officer · (217) 629-8711 |
| NPI enumerated | March 22, 2007 |
| Last updated in NPPES | October 31, 2007 |
| Mailing address | 2524 Farragut Dr, Suite C, Springfield, IL 62704-8400 |
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