Organization
TAPIA MEDICAL GROUP, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIGOBERTO TAPIA M.D. (PRESIDENT)
(708) 771-5490
Entity
Organization
Contact information
Practice address
7318 MADISON ST, SUITE #2, FOREST PARK, IL 60130-3100
(708) 771-5490
(708) 771-5491
Mailing address
7318 MADISON ST, SUITE #2, FOREST PARK, IL 60130-3100
(708) 771-5490
(708) 771-5491
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036094129
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036094129
—
IL
Enumeration date
07/10/2008
Last updated
11/10/2009
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