Individual provider · Type 1 NPI

Renato Bacol Rivera, MD

Surgery Physician · Breese, IL

NPI number 1083612790 Active

Practice location

9515 Holy Cross Ln Ste 175
Breese, IL 62230-3618

Fax (618) 526-7275

Mailing address

9401 Holy Cross Ln, Suite 111
Breese, IL 62230-3510

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X036045712 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1083612790

Renato Bacol Rivera, MD's National Provider Identifier is 1083612790, issued on Jul 7, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Breese, IL. The record was last updated on Oct 11, 2026.