Individual
IVETTE RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN RN
Contact information
Practice address
1111 W LAKE ST, ADDISON, IL 60101-1101
(630) 682-7400
Mailing address
111 N COUNTY FARM RD, WHEATON, IL 60187-3988
(630) 682-7400
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
041.511365
IL
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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