Individual
JONATHAN RILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6420 CLAYTON RD, SAINT LOUIS, MO 63117-1811
(314) 768-8000
(314) 768-8011
Mailing address
1836 LACKLAND HILL PKWY, ATTN: CREDENTIALING OFFICE, SAINT LOUIS, MO 63146-3572
(314) 989-0300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R3G31
MO
207R00000X
Internal Medicine Physician
R3G31
MO
Other
Enumeration date
06/06/2006
Last updated
02/12/2010
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