Individual
MIRIAM RIVKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
602 W ILLINOIS ST, URBANA, IL 61801-3930
(217) 383-3311
Mailing address
602 W ILLINOIS ST, URBANA, IL 61801-3930
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
125.085479
IL
Other
Enumeration date
08/19/2020
Last updated
05/08/2025
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