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Individual

WOUTER RITSEMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
(734) 223-1381
Mailing address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
125.085183
IL
390200000X
Student in an Organized Health Care Education/Training Program
IL

Other

Enumeration date
04/23/2025
Last updated
07/28/2025
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