| Mr Rafael Angel Rivera, LCSW | |
|
2100 Pfingsten Rd, Glenview, IL 60026-1301 | |
| (847) 261-4171 | |
| Not Available |
| Full Name | Mr Rafael Angel Rivera |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 21 Years |
| Location | 2100 Pfingsten Rd, Glenview, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730477134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149013297 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northshore University Healthsystem - Evanston Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3022 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Rafael Angel Rivera, LCSW 2100 Pfingsten Rd, Glenview, IL 60026-1301 Ph: (847) 261-4171 | Mr Rafael Angel Rivera, LCSW 2100 Pfingsten Rd, Glenview, IL 60026-1301 Ph: (847) 261-4171 |
Anna Louise Russo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 E Lake Ave Ste 270, Glenview, IL 60025 Phone: 773-979-1179 | |
Linda G Weston, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3633 W Lake Ave, Suite 403, Glenview, IL 60026 Phone: 847-657-6280 Fax: 847-657-6235 | |
Mrs. Jan Keller Schultz, LISW LCSW BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1308 Waukegan Rd, Suite 103, Glenview, IL 60025 Phone: 877-486-4140 Fax: 847-589-4140 | |
Lori Kathleen Larcher, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 E Lake Ave Ste 245, Glenview, IL 60025 Phone: 773-234-5366 | |
Mrs. Debra Naomi Torres, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2050 Claire Ct, Glenview, IL 60025 Phone: 847-467-7423 Fax: 847-556-1715 | |
Breanna T Traub, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1249 Waukegan Rd, Glenview, IL 60025 Phone: 847-400-4462 | |
Mrs. Mary Ellen Bellingham Johnson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1523 Alder Pl, Glenview, IL 60025 Phone: 847-998-1363 |