Michael C Rivera MD

NPI 1447304282 - Family Medicine - 207Q00000X

NPI Details
NPI 1447304282
Gender Male
Enumeration Date 01/22/2007
Last Updated 02/02/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
110 SOUTH 17TH STREET
ST. CHARLES IL, 60174, US
Phone (630) 377-2800
Fax (630) 377-6774
Business Location
110 SOUTH 17TH STREET
ST. CHARLES IL, 60174, US
Phone (630) 377-2800
Fax (630) 377-6774
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036108312
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According to our database, Dr. Michael C Rivera MD NPI is 1447304282, taxonomy code is 207Q00000X and license number is 036108312, license state is located at Illinois. Michael C Rivera MD physically located at 110 South 17th Street, St. Charles IL, 60174. NPI Number Michael C Rivera MD has the Individual type.

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1447304282 NPI number is provided on an as is basis without warranty of any kind. 1447304282 is maintained by the National Plan & Provider Enumeration System. The contents of Michael C Rivera MD are for informational purposes only.