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NPI Code Detail

MEDICARE: DR. ANDREW JOSEPH RIFF M.D.

MEDICARE: DR. ANDREW JOSEPH RIFF M.D.
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
1207X00000XOrthopaedic Surgery Physician125059869IL
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician036139653IL
3207XX0005XSports Medicine (Orthopaedic Surgery) Physician036.139653IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1036139653OTHERILIL PHYSICIAN LICENSE

General Provider Information

NPI Number : 1407141997
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW JOSEPH RIFF M.D.
Provider Business Mailing Address
First Line : 550 W OGDEN AVE
Second Line :
City : HINSDALE
State : IL
Zip : 60521-3186
Country : US
Telephone Number : 630-794-8671
Fax Number : 630-794-8629
Provider Business Practice Location Address
First Line : 1010 EXECUTIVE DR STE 250
Second Line :
City : WESTMONT
State : IL
Zip : 60559-6137
Country : US
Telephone Number : 630-920-2350
Fax Number : 630-323-5610
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2011
Last Update Date : 12/11/2019

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