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Organization
RIVERSIDE MEDICAL, S.C.
Active
Organization
RIVERSIDE MEDICAL, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MONICA MARIE ESPARZA (BUSINESS OFFICE MANAGER)
(847) 577-9300
Entity
Organization
Contact information
Practice address
3405 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-1536
(847) 577-9300
(847) 577-9318
Mailing address
3405 N ARLINGTON HEIGHTS RD, ARLINGTON HEIGHTS, IL 60004-1536
(847) 577-9300
(847) 577-9318
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1616210
BCBS GROUP
IL
01
—
648500
MEDICAREGROUP
IL
Enumeration date
12/07/2007
Last updated
12/07/2007
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