Individual
ALEJANDRO RAMON RIVAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1460 MANHATAS TRL, ALGONQUIN, IL 60102-3629
(847) 428-0926
Mailing address
1460 MANHATAS TRL, ALGONQUIN, IL 60102-3629
(847) 428-0926
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
R120-0169-8136
IL
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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