Riggs, Mary T

Riggs, Mary T is an individual health care provider with primary practice located at 750 E Terra Cotta Ave Ste B , Crystal Lake IL 60014-3621. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Riggs, Mary T can be contacted via phone (815) 356-2323.

Contact Information

Primary practice address
750 E Terra Cotta Ave Ste B Crystal Lake IL 60014-3621
Phone: (815) 356-2323
Fax: (815) 455-8130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 036-092162 Illinois

Profile Details

NPI number 1285799627
LBN Legal business name Riggs, Mary T
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Sep 3rd, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285799627 NPPES
Illinois MEDICAID 036092162 1

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