Individual
JUDITH ELEN RITHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2754 N HAMPDEN CT APT 1906, CHICAGO, IL 60614-4837
(312) 618-4369
Mailing address
2754 N HAMPDEN CT APT 1906, CHICAGO, IL 60614-4837
(312) 618-4369
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01074611A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35134274
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
4301084838
MI
207RP1001X
Pulmonary Disease Physician
01074611A
IN
207RP1001X
Pulmonary Disease Physician
Primary
036087847
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001009771
ANTHEM PROVIDER NUMBER
IN
01
—
11011-1057-1
BLUE CROSS PIN
MI
01
—
1538397120
NPI- GROUP
MI
05
—
201352220
—
IN
01
—
270381199
TAX ID
MI
05
—
4685036
—
MI
01
—
P00874060
RR MEDICARE
MI
Enumeration date
06/26/2006
Last updated
03/07/2023
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