Individual
LUIS L RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1713 S ASHLAND AVE, CHICAGO, IL 60608-2014
(312) 413-4179
(312) 413-4188
Mailing address
1713 S ASHLAND AVE, CHICAGO, IL 60608-2014
(312) 413-4179
(312) 413-4188
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036141783
IL
Other
Enumeration date
04/09/2014
Last updated
02/11/2025
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