| 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 |
| 148336 | Other | IL | HEALTHLINK NETWORK ID |
| 08400721 | Other | IL | BLUECROSS BLUESHIELD |
| 3001 | Other | NEIC SITE ID,NSF BAO-7 | |
| 087768 | Other | IL | HEALTH ALLIANCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| 208600000X | Surgery | (Illinois) | Secondary |
Board Of Trustees Of Southern Illinois University 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 | |
B3 Healthcare Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 319 E Madison St Ste 2d, Springfield, IL 62701 Phone: 217-508-5859 |