Organization
RIAZ BABER MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAVIER BANUELOS (BILLING MANAGER)
(630) 859-0120
Entity
Organization
Contact information
Practice address
1460 BOND ST, SUITE 130, NAPERVILLE, IL 60563-6502
(630) 859-0120
(630) 355-7679
Mailing address
1460 BOND ST, SUITE 130, NAPERVILLE, IL 60563-6502
(630) 859-0120
(630) 355-7679
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DP6389
RAILROAD MEDICARE
IL
Enumeration date
05/02/2007
Last updated
07/21/2022
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