Individual
BEATRICE MARIE CORREA RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12251 S. 80TH AVENUE, PALOS HEIGHTS, IL 60463
(708) 923-5869
(708) 923-5859
Mailing address
12251 S 80TH AVE STE 1630, PALOS HEIGHTS, IL 60463-1290
(708) 923-5173
(708) 923-5018
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036123828
IL
208M00000X
Hospitalist Physician
Primary
036.123828
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036123838
—
IL
01
—
3932056
BCBS
IL
01
—
721089
AETNA
IL
01
—
F400276595
MEDICARE PTAN
IL
Enumeration date
12/26/2007
Last updated
12/04/2025
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