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Contact Information

STEPHEN P RIVERA, MD
5 MIDDLETREE LANE
HAWTHORN WOODS, IL60047
 Phone: 224-286-7318
 Fax: 847-381-0301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for STEPHEN P RIVERA · (Male)

NPI Number 1396863924
Status Active
Credentials MD
Entity Individual
Enumeration date 03/26/2007
Last updated 09/15/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036089771
  • IL Medicaid 036089771
  • IL Other 001620065 BCBS
  • IL Other 260050348 PALMETTO GBA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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