| Rivera Medical Office, Llc | |
|
1110 Mulliken St Carlyle IL 62231-1233 | |
| (618) 594-3613 | |
| (618) 594-4799 |
| Full Name | Rivera Medical Office, Llc |
|---|---|
| Speciality | Surgery |
| Location | 1110 Mulliken St, Carlyle, Illinois |
| Authorized Official Name and Position | Lisa 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 Office, Llc 1110 Mulliken St Po Box 147 Carlyle IL 62231-1233 Ph: (618) 594-3613 | Rivera Medical Office, Llc 1110 Mulliken St Carlyle IL 62231-1233 Ph: (618) 594-3613 |
| NPI Number | 1689883035 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 05/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689883035 | NPI | - | NPPES |
| 1400038 | Other | IL | BLUECROSS PROV # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036096480 (Illinois) | Secondary |
| 208000000X | Pediatrics | 036096480 (Illinois) | Secondary |
| 208600000X | Surgery | 036045712 (Illinois) | Primary |
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, 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 |