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Individual

DR. JOSEPH R RIVAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, PC

Contact information

Practice address
511 W BELMONT AVE, #32, CHICAGO, IL 60657-4663
(630) 881-1148
Mailing address
511 W BELMONT AVE, #32, CHICAGO, IL 60657-4663
(630) 881-1148

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
141769
NY
207T00000X
Neurological Surgery Physician
8113
PR
207T00000X
Neurological Surgery Physician
86/0431
ZZ
207T00000X
Neurological Surgery Physician
Primary
C43254
CA
207T00000X
Neurological Surgery Physician
MD 028112 E
PA
207T00000X
Neurological Surgery Physician
MD.09654R
LA

Other

Enumeration date
03/30/2012
Last updated
03/30/2012
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