Organization
SABEEHA HAQUE ALI MD LLC
Active
Other names
Riverview Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
SABEEHA HAQUE M.D. (OWNER/MANAGER)
(312) 545-9727
Entity
Organization
Contact information
Practice address
102 N LOGAN AVE, DANVILLE, IL 61832-8513
(217) 442-5863
(217) 442-5040
Mailing address
102 N LOGAN AVE, DANVILLE, IL 61832-8513
(217) 442-5863
(217) 442-5040
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
036109029
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3426615776045330
—
IL
Enumeration date
09/03/2013
Last updated
11/12/2013
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