Individual
ANDREW JAMES RIFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8201 E RIVERSIDE BLVD, ROCKFORD, IL 61114-2300
(815) 971-5000
Mailing address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036162144
IL
208M00000X
Hospitalist Physician
Primary
036162144
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/10/2020
Last updated
09/07/2023
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