Stephen Paul Rivard in Lake Barrington - Specialist
Stephen Paul Rivard - NPI 1962416321
Stephen Paul Rivard is a Specialist in Lake Barrington, Illinois. Stephen Paul Rivard practices all healthcare services and medical treatments related to Specialist. The NPI Number for Stephen Paul Rivard is 1962416321. The last update date is 2015-03-24.
Stephen Paul Rivard's current location address is 22285 N. Pepper Rd., Lake Barrington, Illinois. You can contact this provider via phone number 8472779100 and fax number 8472779110. The mailing address for Stephen Paul Rivard is 22285 N. Pepper Rd., Lake Barrington, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Paul Rivard |
|---|---|
| Address | 22285 N. Pepper Rd., Lake Barrington, Illinois |
| Phone Number | 8472779100 |
| Fax Number | 8472779110 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1962416321 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2015-03-24 |
Provider Mailing Address Detail
| Address | 22285 N. Pepper Rd. |
|---|---|
| City | Lake Barrington |
| State | Illinois (IL) |
| Post Code | 600102539 |
| Phone Number | 8472779100 |
| Fax Number | 8472779110 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36064684 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36064684 | IL | -- | |
| 930009892 | MEDICARE RR |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen Paul Rivard by the Centers for Medicare & Medicaid Services?
The Stephen Paul Rivard has been assigned the NPI (National Provider Identifier) 1962416321. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Stephen Paul Rivard?
The Stephen Paul Rivard is situated at 22285 N. Pepper Rd., in the city of Lake Barrington, state of IL, with the zip code 600102539.
What is the Stephen Paul Rivard's area of specialization and corresponding taxonomy classification?
The Stephen Paul Rivard's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Stephen Paul Rivard receive its 1962416321 assignment from the Centers for Medicare & Medicaid Services?
The Stephen Paul Rivard was assigned its 1962416321 by the Centers for Medicare & Medicaid Services on 2006-07-28.
When was the Stephen Paul Rivard's information last updated?
The Stephen Paul Rivard's information was last updated on 2015-03-24.