Organization
DR. SUSAN RIFE FAMILY MEDICINE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BARBARA RIFE DO (PHYSICIAN OWNER)
(708) 873-1187
Entity
Organization
Contact information
Practice address
10755 W 163 PLACE, ORLAND PARK, IL 60467
(708) 873-1187
(708) 873-1204
Mailing address
10755 W 163 PLACE, ORLAND PARK, IL 60467
(708) 873-1187
(708) 873-1204
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036077841
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036077841
—
IL
Enumeration date
01/04/2006
Last updated
04/04/2012
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