Provider Demographics
NPI:1447321526
Name:RITGER, KATHLEEN ANN (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:ANN
Last Name:RITGER
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 W HOOD AVE # 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60660-2507
Mailing Address - Country:US
Mailing Address - Phone:773-856-5308
Mailing Address - Fax:
Practice Address - Street 1:160 N LA SALLE ST
Practice Address - Street 2:7TH FLOOR SOUTH
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60601-3103
Practice Address - Country:US
Practice Address - Phone:312-814-4846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP08144M16Medicaid
TXH25737Medicare UPIN
TX8144MLMedicare ID - Type Unspecified