Individual
JOANNA Y ORTIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0844
(888) 220-6432
Mailing address
901 MCCLINTOCK DR, SUITE 202, BURR RIDGE, IL 60527-0844
(888) 220-6432
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
036091047
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091047
—
IL
01
—
2160743632
BCBS PROVIDER ID
IL
01
—
440003035
RAILROAD MEDICARE
IL
Enumeration date
09/15/2005
Last updated
11/18/2011
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