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Search › Illinois › 101YP2500X

Jennifer Rivera

NPI 1700311230 · on the registry since 2017 · sole proprietor

Practice

Address
1111 W Lake Cook Rd
Buffalo Grove, IL 60089
Phone
(224) 628-5292
Organisation at this address
Omni Youth Services
Omni Youth Services
Omni Youth Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-04-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois