Individual
DIANA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3520 S ASHLAND AVE, CHICAGO, IL 60609-1317
(773) 523-3400
Mailing address
5260 W 87TH ST, BURBANK, IL 60459-2945
(708) 543-8300
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/25/2022
Last updated
01/25/2022
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