| Doctor Name: | MS. LOUISE MARGARET RYSSMANN |
| NPI Number: | 1073598991 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PNP |
| License Number: | |
| Business Practice Address: | 3001 6th St Great Lakes, IL - 600882833 |
| Business Phone Number: | 8476884560 |
| Business Fax Number: | 8476887475 |
| Mailing Address: | Po Box 164, LAKE BLUFF |
| State: | IL |
| Postal Code: | 600440164 |
| Phone Number: | 8476151037 |
| Fax Number: | 8476887475 |
| NPI Enumeration Date: | 12/13/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |