Individual
ROSA ESMERALDA RIOS AVENDANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
345 10TH AVE, GRANITE FALLS, MN 56241-1442
(320) 564-3111
Mailing address
1127 N OAKLEY BLVD, CHICAGO, IL 60622-3507
(312) 770-2040
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125070190
IL
207Q00000X
Family Medicine Physician
Primary
67090
MN
Other
Enumeration date
05/11/2017
Last updated
07/24/2020
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