Provider / Organization | NPI | Date Certified |
---|---|---|
RITA JOANNE HERZING | 1316103559 | 2008-08-06 |
Rita J Herzing [F] graduated in 2006 from Loyola University Of Chicago, Stritch School Of Medicine and primarily specializes in Internal Medicine.
Rita Joanne Herzing is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1316103559. Registration indicates Rita Joanne Herzing is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
PECOS ID | 5092860262 |
Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
Entity Type | Individual |
Provider Name | Dr. Rita Joanne Herzing M.D. |
Other Provider Name | Rita Joanne Warner |
Practice Office Address | 430 PENNSYLVANIA AVE STE 310 GLEN ELLYN, IL US |
Practice Office Telephone | 6307901792 |
Practice Office Fax | 6305457568 |
Mailing Address | 1860 PAYSPHERE CIR CHICAGO, IL 606740018 US |
Direct Messaging Address [] | [email protected] | |
Direct Messaging Address [] | [email protected] |
Code | Practice | License No State |
---|---|---|
207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 036122493
IL |
036122493 | MEDICAID | IL |