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Rivera Medical Office, LLC

Surgery Physician in Carlyle, IL · enumerated 2007 · authorized official Lisa Rivera, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1689883035

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Registry record

Entity type Organization (Type 2)
Legal business name Rivera Medical Office, LLC
Other name <Unavail>
Practice address 1110 Mulliken St, Carlyle, IL, 62231
Phone (618) 594-3613
Fax (618) 594-4799
Enumeration date May 22, 2007
Last updated in NPPES May 12, 2008

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 036096480 (IL) Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 036096480 (IL) Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License 036045712 (IL) Primary

Authorized official

Name Lisa Rivera
Title Office Manager
Phone (618) 594-3613

Other identifiers

Identifier Type State Issuer
1400038 Other IL BLUECROSS PROV #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-05-12. Verify at npiregistry.cms.hhs.gov.
Where is Rivera Medical Office, LLC located?
The practice location on file with NPPES is in Carlyle, IL.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-05-12.