Renato Bacol Rivera is a Surgery in Breese, Illinois. Renato Bacol Rivera practices all healthcare services and medical treatments related to Surgery. The NPI Number for Renato Bacol Rivera is 1083612790. The last update date is 2021-12-30.
Renato Bacol Rivera's current location address is 9515 Holy Cross Ln Ste 175, Breese, Illinois. You can contact this provider via phone number 6185268430 and fax number 6185267275. The mailing address for Renato Bacol Rivera is 9515 Holy Cross Ln Ste 175, Breese, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Renato Bacol Rivera |
|---|---|
| Address | 9515 Holy Cross Ln Ste 175, Breese, Illinois |
| Phone Number | 6185268430 |
| Fax Number | 6185267275 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1083612790 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 9515 Holy Cross Ln Ste 175 |
|---|---|
| City | Breese |
| State | Illinois (IL) |
| Post Code | 6223036180 |
| Phone Number | 6185268430 |
| Fax Number | 6185267275 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 36045712 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36045712 | IL | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Renato Bacol Rivera by the Centers for Medicare & Medicaid Services?
The Renato Bacol Rivera has been issued the NPI (National Provider Identifier) 1083612790, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Renato Bacol Rivera's facilities are situated?
The facilities of Renato Bacol Rivera are physically located at the following address: 9515 Holy Cross Ln Ste 175, Breese, IL, 6223036180.
What is Renato Bacol Rivera's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Renato Bacol Rivera is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
When was the Renato Bacol Rivera's 1083612790 issued?
The Renato Bacol Rivera's 1083612790 was issued on 2005-07-07.
As of what date were the details pertaining to Renato Bacol Rivera last refreshed?
The information related to the Renato Bacol Rivera, including its address, specialty, and other relevant details, was last updated on 2021-12-30.