Individual
MARCO RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1713 S ASHLAND AVE, CHICAGO, IL 60608-2014
(312) 996-2901
Mailing address
1713 S ASHLAND AVE, CHICAGO, IL 60608-2014
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125.084094
IL
Other
Enumeration date
03/21/2024
Last updated
09/22/2025
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