Jay Riseman MD Ltd
NPI #1508982299 in Springfield, Illinois
Provider Information
- NPI Number
- 1508982299
- Entity Type
- Organization
- Organization Name
- Jay Riseman MD Ltd
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 22, 2007
- Last Updated
- Oct 31, 2007
Practice Location
- Address
- 2524 FARRAGUT DR
- Address 2
- SUITE C
- City
- Springfield
- State
- Illinois
- ZIP Code
- 62704-8400
- Phone
- (217) 546-8711
Authorized Official
- Name
- DR. JAY A RISEMAN, MD
- Title
- OFFICER
- Phone
- (217) 629-8711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
| Family Medicine |
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