Individual
DR. ANA L RISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4001 DUPONT CIR, LOUISVILLE, KY 40207-4801
(502) 899-6405
(502) 899-6407
Mailing address
109 CALIFORNIA STREET, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036.139132
IL
207Q00000X
Family Medicine Physician
244507
NY
207Q00000X
Family Medicine Physician
Primary
43965
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036139132
—
IL
05
—
370966854002
—
IL
01
—
640701
MEDICARE - GROUP
IL
05
—
7100158250
—
KY
Enumeration date
06/15/2007
Last updated
07/28/2025
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