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Individual

DR. MARIA LOURDES P RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
144 NORTH CT, DIXON, IL 61021
(815) 285-5437
(815) 285-8928
Mailing address
102 S HENNEPIN AVE, DIXON, IL 61021-3083
(815) 288-7711
(815) 285-8902

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-092336
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036092336
IL
Enumeration date
03/08/2006
Last updated
12/17/2024
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