Individual
DR. CHRISTOPHER JOHN RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14509 STATE ROUTE 127, CARLYLE, IL 62231-6485
(618) 594-3613
(888) 859-4347
Mailing address
14509 STATE ROUTE 127, CARLYLE, IL 62231-6485
(618) 594-3613
(888) 859-4347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036096480
IL
208000000X
Pediatrics Physician
036096480
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036096480
—
IL
Enumeration date
08/02/2005
Last updated
03/24/2023
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