La Riva, Juan Luis

La Riva, Juan Luis is an individual health care provider with primary practice located at 19015 S Jodi Rd Ste H , Mokena IL 60448-8534. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. La Riva, Juan Luis can be contacted via phone (866) 787-4452.

Contact Information

Primary practice address
19015 S Jodi Rd Ste H Mokena IL 60448-8534
Phone: (866) 787-4452
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X

Profile Details

NPI number 1275219313
LBN Legal business name La Riva, Juan Luis
Credentials SA
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2023
Last updated Jun 23rd, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275219313 NPPES
Illinois Other 238.000786 ILLINOIS STATE LICENSE

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