Individual
DR. ANGEL LUIS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2740 W FOSTER AVE, LL7, CHICAGO, IL 60625-3500
(773) 878-8200
(773) 293-4197
Mailing address
5215 N CALIFORNIA AVE, STE 603, CHICAGO, IL 60625-7014
(773) 878-3627
(773) 293-8824
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036126911
IL
Other
Enumeration date
02/23/2009
Last updated
03/22/2016
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