| Enio A Rigolin Md Sc | |
|
600 N Mcclurg Ct Chicago IL 60611-3044 | |
| (630) 241-1495 | |
| (630) 241-1543 |
| Full Name | Enio A Rigolin Md Sc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 600 N Mcclurg Ct, Chicago, Illinois |
| Authorized Official Name and Position | Enio A Rigolin (OWNER) |
| Authorized Official Contact | 6302411495 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Enio A Rigolin Md Sc 343 Park Pl Glencoe IL 60022-1269 Ph: (630) 241-1495 | Enio A Rigolin Md Sc 600 N Mcclurg Ct Chicago IL 60611-3044 Ph: (630) 241-1495 |
| NPI Number | 1225450497 |
|---|---|
| Provider Enumeration Date | 01/07/2014 |
| Last Update Date | 01/07/2014 |
| Medicare PECOS PAC ID | 4880824945 |
|---|---|
| Medicare Enrollment ID | O20140311001631 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225450497 | NPI | - | NPPES |
| 036043155 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036043155 (Illinois) | Primary |
| Provider Name | Enio A Rigolin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023087327 PECOS PAC ID: 1850496746 Enrollment ID: I20070423000071 |
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