| Riverfront Medical, Llc | |
|
103 N Main St Port Byron IL 61275-7705 | |
| (312) 422-4035 | |
| Not Available |
| Full Name | Riverfront Medical, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 N Main St, Port Byron, Illinois |
| Authorized Official Name and Position | Mori Hall (LEGAL COUNSEL) |
| Authorized Official Contact | 3122638600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverfront Medical, Llc 303 W Madison St Ste 1000 Chicago IL 60606-3321 Ph: (312) 263-8600 | Riverfront Medical, Llc 103 N Main St Port Byron IL 61275-7705 Ph: (312) 422-4035 |
| NPI Number | 1548820194 |
|---|---|
| Provider Enumeration Date | 06/17/2019 |
| Last Update Date | 06/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548820194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Genesis Health Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 11th St, Port Byron, IL 61275 Phone: 309-523-3116 Fax: 309-523-3916 |