| Renato Bacol Rivera, MD | |
|
9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618 | |
| (618) 526-8430 | |
| (618) 526-7275 |
| Full Name | Renato Bacol Rivera |
|---|---|
| Gender | Male |
| Speciality | Surgery |
| Location | 9515 Holy Cross Ln Ste 175, Breese, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083612790 | NPI | - | NPPES |
| 036045712 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036045712 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Renato Bacol Rivera, MD 9401 Holy Cross Ln, Suite 111, Breese, IL 62230-3510 Ph: (618) 526-7133 | Renato Bacol Rivera, MD 9515 Holy Cross Ln Ste 175, Breese, IL 62230-3618 Ph: (618) 526-8430 |
Dr. Osman Salih Mahdi Babikir, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 9515 Holy Cross Ln Ste 175, Breese, IL 62230 Phone: 618-636-2261 Fax: 618-526-7275 | |
Timothy Mark Ruff, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9409 Holy Cross Ln, Breese, IL 62230 Phone: 615-948-2999 |