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Individual

ADRIANA RIVERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.N.M.

Contact information

Practice address
3229 W 47TH PL, CHICAGO, IL 60632-3011
(773) 254-6044
Mailing address
3229 W 47TH PL STE 200, CHICAGO, IL 60632-3011
(773) 254-6044
(312) 526-2368

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209-004862
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209-004862
APN STATE LICENSE
IL
Enumeration date
12/06/2006
Last updated
08/06/2024
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