Individual
BIANCA RISCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2160 S 1ST AVE # 3328, MAYWOOD, IL 60153-3328
(708) 216-1274
Mailing address
2160 S 1ST AVE # 3328, MAYWOOD, IL 60153-3328
(708) 216-1274
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085.006682
IL
Other
Enumeration date
09/09/2018
Last updated
10/10/2024
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