JAMES J. DALLA RIVA MD PC NPI 1518143254

NPI Information

  • NPI: 1518143254
  • Provider Name: JAMES J. DALLA RIVA, MD, PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 6810 STATE ROUTE 162
    SUITE 301
    MARYVILLE, IL
    ZIP 62062
  • Phone: (618) 288-5699

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NPI Details

JAMES J. DALLA RIVA, MD, PC is a specialist in Maryville, IL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JAMES J. DALLA RIVA, MD, PC NPI is 1518143254. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6810 STATE ROUTE 162
SUITE 301
MARYVILLE, IL
ZIP 62062-501
Phone: (618) 288-5699
Fax: (618) 288-5797

The provider's authorized official is James J Dalla Riva .
The authorized official title is President and has the following contact phone number (618) 288-5699.

The enumeration date for this NPI number is 1/11/2008 and was last updated on 5/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10360879061MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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