Individual
ALEXIS RAE RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5741 W. CERMAK RD, CICERO, IL 60804
(708) 222-0100
Mailing address
1841 S. CALUMET AVE., UNIT 1808, CHICAGO, IL 60616
(408) 636-3869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.012026
IL
Other
Enumeration date
01/23/2026
Last updated
01/23/2026
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