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Individual

DR. RIGOBERTO TAPIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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
208000000X
Pediatrics Physician
Primary
036094129
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036094129
IL
01
14D0980011
CLIA
01
336-055280
CONTROLLED SUBSTANCE
IL
Enumeration date
05/20/2006
Last updated
03/07/2023
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