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1841278843

NPI Code Detail

MEDICARE: DR. DAVID L RIPLEY MD

MEDICARE: DR. DAVID L RIPLEY MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P0301X	Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician	036-130612	IL
2	208100000X	Physical Medicine & Rehabilitation Physician	036-130612	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P01124560	OTHER	IL	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1841278843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID L RIPLEY MD

Provider Business Mailing Address
First Line	:	355 E ERIE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3167
Country	:	US
Telephone Number	:	312-238-1000
Fax Number	:

Provider Business Practice Location Address
First Line	:	355 E ERIE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60611-3167
Country	:	US
Telephone Number	:	312-238-1000
Fax Number	:	312-238-8405

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2006
Last Update Date	:	07/21/2022

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Directions to “ DR. DAVID L RIPLEY MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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