NPI | 1558791657 |
---|---|
Doing Business As | RIVERSIDE FAMILY PRACTICE ASSOCIATES |
Entity Type | Organization |
Authorized Contact | RUBY MANN Director 630-856-6884 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-11-26 |
Last Update Date | 2017-06-14 |