Healthcare Provider Details

I. General information

NPI: 1891600979
Provider Name (Legal Business Name): DENNIS ALEXANDER RIVERA-CASH LSW, MPH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5707 N GLENWOOD AVE
CHICAGO IL
60660-4515
US

IV. Provider business mailing address

5401 S CORNELL AVE APT 720 720
CHICAGO IL
60615-6341
US

V. Phone/Fax

Practice location:
  • Phone: 401-663-4437
  • Fax:
Mailing address:
  • Phone: 332-239-8798
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.129314
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: