Individual
DR. SHERWIN RITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
215 E 1ST ST STE 153, DIXON, IL 61021-3175
(815) 285-5603
(815) 285-5813
Mailing address
215 E 1ST ST STE 153, DIXON, IL 61021-3175
(815) 285-5603
(815) 285-5813
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
036-053594
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036053594
—
IL
01
—
040011299
MEDICARE RAILROAD
IL
01
—
1083948
FIRST HEALTH
IL
01
—
3634600005
CIGNA
IL
05
—
364034475
—
IL
01
—
4475R
CATERPILLAR
IL
01
—
F400559128
MEDICARE PTAN
IL
01
—
L040569
CHAMPUS/TRICARE
IL
Enumeration date
05/31/2005
Last updated
10/08/2019
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