Individual
JENNIFER RIVAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2645 W LAWRENCE AVE, CHICAGO, IL 60625-2944
(773) 275-1680
(833) 471-5831
Mailing address
2645 W LAWRENCE AVE, CHICAGO, IL 60625-2944
(773) 275-1680
(833) 471-5831
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.029528
IL
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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