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NPI Code Detail

MEDICARE: DR. RIGOBERTO TAPIA MD

MEDICARE: DR. RIGOBERTO TAPIA 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
1208000000XPediatrics Physician036094129IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
214D0980011OTHERCLIA
3336-055280OTHERILCONTROLLED SUBSTANCE

General Provider Information

NPI Number : 1598719783
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RIGOBERTO TAPIA MD
Provider Business Mailing Address
First Line : 7318 MADISON ST
Second Line : SUITE #2
City : FOREST PARK
State : IL
Zip : 60130-3100
Country : US
Telephone Number : 708-771-5490
Fax Number : 708-771-5491
Provider Business Practice Location Address
First Line : 7318 MADISON ST
Second Line : SUITE #2
City : FOREST PARK
State : IL
Zip : 60130-3100
Country : US
Telephone Number : 708-771-5490
Fax Number : 708-771-5491
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 03/07/2023

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