Individual
JOHN RINKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1515 W REYNOLDS ST, PONTIAC, IL 61764-9673
(815) 842-3381
(815) 842-2861
Mailing address
1515 W REYNOLDS ST, PONTIAC, IL 61764-9673
(815) 842-3381
(815) 842-2861
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02002903A
IN
207P00000X
Emergency Medicine Physician
036074643
IL
207Q00000X
Family Medicine Physician
Primary
036074643
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074643
—
IL
01
—
5300107
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/28/2006
Last updated
10/26/2011
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