# DR. ANA L RISSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1447455019
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 036.139132 | IL | — |
| 207Q00000X | Family Medicine Physician | 244507 | NY | — |
| 207Q00000X | Family Medicine Physician | 43965 | KY | Yes |

## Other

- **Enumeration date:** 06/15/2007
- **Last updated:** 07/28/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036139132 | — | IL |
| 05 | — | 370966854002 | — | IL |
| 01 | — | 640701 | MEDICARE - GROUP | IL |
| 05 | — | 7100158250 | — | KY |