Riverfront Medical, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RIVERFRONT MEDICAL, LLC

Doing business as

Riverfront Medical Walk-In Clinic

Practice address

103 N Main St
Port Byron, IL 61275-7705

Phone

(312) 422-4035

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Mori Hall, JD, LLM, CHC

Title

Legal Counsel

Phone

(312) 263-8600

Specialties & licenses 1

Addresses

Other names 1

• Riverfront Medical Walk-In Clinic Doing business as

Electronic endpoints 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1548820194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W MADISON ST STE 1000",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606063321",
            "telephone_number": "312-263-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 N MAIN ST",
            "city": "PORT BYRON",
            "state": "IL",
            "postal_code": "612757705",
            "telephone_number": "312-422-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERFRONT MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MORI",
        "authorized_official_title_or_position": "LEGAL COUNSEL",
        "authorized_official_telephone_number": "312-263-8600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "JD, LLM, CHC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mhall@dugganbertsch.com",
            "affiliation": "N",
            "endpointDescription": "mhall@dugganbertsch.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "103 N Main St",
            "city": "Port Byron",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612757705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Riverfront Medical Walk-In Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Ann Mayo, SLP
• Rhonda Lynn Owens
• Frederick Bruce Perry, D.O.
• River City Alternative Health, Inc.
• Riverdale School District 100
• Karenina Marie Slone, RN
• Alycia Tyler

• Internal Medicine Physician in Port Byron, IL
• Providers in Port Byron, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.