James J. Dalla Riva, Md, Pc in Maryville - Specialist
James J. Dalla Riva, Md, Pc - NPI 1518143254
James J. Dalla Riva, Md, Pc is a Specialist in Maryville, Illinois. James J. Dalla Riva, Md, Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for James J. Dalla Riva, Md, Pc is 1518143254. The last update date is 2008-01-11.
James J. Dalla Riva, Md, Pc's current location address is 6810 State Route 162, Maryville, Illinois. You can contact this provider via phone number 6182885699 and fax number 6182885797. The mailing address for James J. Dalla Riva, Md, Pc is 6810 State Route 162, Maryville, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | James J. Dalla Riva, Md, Pc |
|---|---|
| Address | 6810 State Route 162, Maryville, Illinois |
| Phone Number | 6182885699 |
| Fax Number | 6182885797 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Dalla Riva J James |
| Credentials | MD |
| Telephone Number | 6182885699 |
NPI Number Detail
| NPI Number | 1518143254 |
|---|---|
| Provider Enumeration Date | 2008-01-11 |
| Last Updated Date | 2008-01-11 |
Provider Mailing Address Detail
| Address | 6810 State Route 162 |
|---|---|
| City | Maryville |
| State | Illinois (IL) |
| Post Code | 620628501 |
| Phone Number | 6182885699 |
| Fax Number | 6182885797 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 360879061 | IL | -- |
Post Comment/ Review Below
What is the James J. Dalla Riva, Md, Pc's 1518143254?
The James J. Dalla Riva, Md, Pc's NPI (National Provider Identifier) Number is 1518143254. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the James J. Dalla Riva, Md, Pc's physical address?
The James J. Dalla Riva, Md, Pc is physically located at 6810 State Route 162, in the city of Maryville, IL, with the postal code 620628501.
What is the James J. Dalla Riva, Md, Pc's area of specialization and corresponding taxonomy classification?
The James J. Dalla Riva, Md, Pc'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 Centers for Medicare & Medicaid Services originally issue the 1518143254 to James J. Dalla Riva, Md, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1518143254 to James J. Dalla Riva, Md, Pc on 2008-01-11.
As of what date was the information pertaining to James J. Dalla Riva, Md, Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to James J. Dalla Riva, Md, Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-11.