Provider Demographics
NPI:1194583328
Name:RTW SERVICES PLLC
Entity type:Organization
Organization Name:RTW SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:WIRICK
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:269-698-8055
Mailing Address - Street 1:118 E OHIO ST
Mailing Address - Street 2:
Mailing Address - City:MOMENCE
Mailing Address - State:IL
Mailing Address - Zip Code:60954-1741
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:118 E OHIO ST
Practice Address - Street 2:
Practice Address - City:MOMENCE
Practice Address - State:IL
Practice Address - Zip Code:60954-1741
Practice Address - Country:US
Practice Address - Phone:269-689-9055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty