| Rivera Medical, Llc | |
|
1110 Mulliken St Carlyle IL 62231-1233 | |
| (618) 594-3613 | |
| (618) 594-4799 |
| Full Name | Rivera Medical, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1110 Mulliken St, Carlyle, Illinois |
| Authorized Official Name and Position | Lisa R Rivera (OFFICE MANAGER) |
| Authorized Official Contact | 6185943613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rivera Medical, Llc 1110 Mulliken St Carlyle IL 62231-1233 Ph: (618) 594-3613 | Rivera Medical, Llc 1110 Mulliken St Carlyle IL 62231-1233 Ph: (618) 594-3613 |
| NPI Number | 1649574518 |
|---|---|
| Provider Enumeration Date | 01/06/2011 |
| Last Update Date | 01/06/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649574518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036096480 (Illinois) | Primary |
| 208000000X | Pediatrics | 036096480 (Illinois) | Secondary |
Med Plus Physical Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 18209 Eula Mae Pkwy, Carlyle, IL 62231 Phone: 618-594-3671 Fax: 618-594-8058 | |
Rivera Medical Office, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Mulliken St, Carlyle, IL 62231 Phone: 618-594-3613 Fax: 681-594-4799 | |
Rivera Medical, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Mulliken St, Carlyle, IL 62231 Phone: 618-594-3613 Fax: 618-594-4799 | |
Rivera Medical Office, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1110 Mulliken St, Carlyle, IL 62231 Phone: 618-594-3613 Fax: 618-594-4799 | |
Clinton County Rural Health Carlyle Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 14509 State Route 127, Carlyle, IL 62231 Phone: 618-594-8924 Fax: 618-594-7918 | |
St. Joseph's Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14509 State Route 127, Carlyle, IL 62231 Phone: 618-594-3613 |