TIQUEZ RIVERS

CHICAGO, IL
NPI1720717713
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-06-06
Last Update Date2022-06-06
Business Address
TIQUEZ RIVERS MD
820 S WOOD ST
CHICAGO, IL 60612-4325
Phone number: 312-996-2933
Mailing Address
TIQUEZ RIVERS MD
1140 S WABASH AVE APT 1004
CHICAGO, IL 60605-2329
Phone number: 843-639-7695