Provider Demographics
NPI:1104857473
Name:RITTMANN, STEPHEN P (MD)
Entity Type:Individual
Prefix:
First Name:STEPHEN
Middle Name:P
Last Name:RITTMANN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:361 W GOLF RD
Mailing Address - Street 2:SCHAUMBURG
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60195-3607
Mailing Address - Country:US
Mailing Address - Phone:847-252-6050
Mailing Address - Fax:847-252-6057
Practice Address - Street 1:361 W GOLF RD
Practice Address - Street 2:SCHAUMBURG
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60195-3607
Practice Address - Country:US
Practice Address - Phone:847-252-6050
Practice Address - Fax:847-252-6057
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036-055551207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILC44193Medicare UPIN