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Individual

LORNA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4100 VETERANS PKWY, MCHENRY, IL 60050-4029
(815) 385-6400
Mailing address
4100 VETERANS PKWY, MCHENRY, IL 60050-4029

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
036107036
IL
2084N0400X
Neurology Physician
Primary
036107036
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036107036
IL
Enumeration date
08/04/2006
Last updated
08/17/2022
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