Individual
LIDIA J ORTIZ-RITCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
539 N DEARBORN ST, CHICAGO, IL 60654-4812
(312) 549-4400
Mailing address
539 N DEARBORN ST, CHICAGO, IL 60654-4812
(312) 549-4400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209012036
IL
363LP2300X
Primary Care Nurse Practitioner
209012036041364106
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F400213130
MEDICARE PTAN
—
Enumeration date
05/07/2015
Last updated
01/03/2024
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