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NPI Code Detail

MEDICARE: RIVIERA CARE CENTER, LLC

MEDICARE: RIVIERA CARE CENTER, LLC
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
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1497397384
Entity Type Code : Organization
Provider Name (Legal Business Name) : RIVIERA CARE CENTER, LLC
Provider Business Mailing Address
First Line : 4655 W CHASE AVE
Second Line :
City : LINCOLNWOOD
State : IL
Zip : 60712-1605
Country : US
Telephone Number : 847-262-3800
Fax Number :
Provider Business Practice Location Address
First Line : 490 W 16TH PL
Second Line :
City : CHICAGO HEIGHTS
State : IL
Zip : 60411-3224
Country : US
Telephone Number : 708-481-4444
Fax Number :
Authorized Official
Title or Position : VP OF REVENUE CYCLE MANAGEMENT
Name : JENNIFER SPECTOR
Credential :
Telephone Number : 847-262-3800
Provider Enumeration Date : 10/11/2019
Last Update Date : 09/03/2025

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Directions to “RIVIERA CARE CENTER, LLC ” Practice Location

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