Individual
MAUREEN RIEGERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1725 W HARRISON ST STE 264, CHICAGO, IL 60612-3844
(312) 942-2195
Mailing address
1725 W HARRISON ST STE 264, CHICAGO, IL 60612-3844
(312) 942-2195
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036164971
IL
207N00000X
Dermatology Physician
125.071972
IL
207N00000X
Dermatology Physician
35.144747
OH
207R00000X
Internal Medicine Physician
125.071972
IL
390200000X
Student in an Organized Health Care Education/Training Program
35.144747
OH
Other
Enumeration date
06/12/2018
Last updated
07/13/2023
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