Individual
KATHERINE SONYA RITTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
149 N WEBER RD, BOLINGBROOK, IL 60490-1504
(630) 456-7245
(630) 348-3074
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036136590
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036136590
—
IL
Enumeration date
06/20/2012
Last updated
08/18/2023
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