NPI Lookup
NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

JILL WIRTH RISSMAN, MD
1201 N CUMMINGS LN
WASHINGTON, IL61571-9267
 Phone: 309-444-2090
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JILL WIRTH RISSMAN · (Female)

NPI # 1003028150
Status Active
Credentials MD
Entity Individual
Enumeration date 05/03/2007
Last updated 03/19/2018 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 0361196991
  • IL Other 036119699 LICENSE
Hospital affiliation(s)
  • METHODIST MEDICAL CENTER OF ILLINOIS - (Acute Care)
    221 N E GLEN OAK AVE
    PEORIA, IL 61636
  • PEKIN MEMORIAL HOSPITAL - (Acute Care)
    600 SOUTH 13TH STREET
    PEKIN, IL 61554
  • PROCTOR HOSPITAL - (Acute Care)
    5409 N KNOXVILLE AVE
    PEORIA, IL 61614
  • SAINT FRANCIS MEDICAL CENTER - (Acute Care)
    530 NE GLEN OAK AVE
    PEORIA, IL 61637
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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