Individual
ANGELA E RIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PHD
Contact information
Practice address
1801 W TAYLOR ST STE 2E, CHICAGO, IL 60612-4795
(312) 996-7416
(312) 413-9484
Mailing address
840 S WOOD ST # MC856, CHICAGO, IL 60612-4325
(312) 996-6143
(312) 413-9484
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
036130169
IL
2080P0207X
Pediatric Hematology & Oncology Physician
ME 96286
TX
2080P0207X
Pediatric Hematology & Oncology Physician
ME96286
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036130169
—
IL
Enumeration date
10/12/2006
Last updated
01/24/2014
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