CHRISTIAN A RIVERA

CHICAGO, IL
NPI1801580428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: IL  125.082464)
Additional Taxonomies207Q00000X Family Medicine
(Licence: IL  125.082464)
Enumeration Date2023-06-06
Last Update Date2023-08-27
Business Address
CHRISTIAN A RIVERA MD
1950 W POLK ST
CHICAGO, IL 60612-3723
Phone number: 312-864-2000
Mailing Address
CHRISTIAN A RIVERA MD
1950 W POLK ST
CHICAGO, IL 60612-3723
Phone number: 312-864-0200