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NPI Code Detail

MEDICARE: SCOTT C RIEGER DPM

MEDICARE: SCOTT C RIEGER DPM
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
1213E00000XPodiatrist016002804IL

Other Identifiers

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

General Provider Information

NPI Number : 1043268113
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT C RIEGER DPM
Provider Business Mailing Address
First Line : 4201 WINFIELD RD FL 4
Second Line :
City : WARRENVILLE
State : IL
Zip : 60555-4025
Country : US
Telephone Number : 331-221-6377
Fax Number : 331-221-2357
Provider Business Practice Location Address
First Line : 1200 S YORK ST STE 2000
Second Line :
City : ELMHURST
State : IL
Zip : 60126-5634
Country : US
Telephone Number : 331-221-9004
Fax Number : 331-221-2702
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 06/22/2021

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Directions to “ SCOTT C RIEGER DPM” Practice Location

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