| Doctor Name: | MATT M RIEGER |
| NPI Number: | 1073549028 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | P.A. |
| License Number: | |
| Business Practice Address: | 71 S Highland Ave Lombard, IL - 601483042 |
| Business Phone Number: | 6302630010 |
| Business Fax Number: | |
| Mailing Address: | 2000 Spring Rd, Ste 200 OAK BROOK |
| State: | IL |
| Postal Code: | 605231804 |
| Phone Number: | 6304728810 |
| Fax Number: | |
| NPI Enumeration Date: | 06/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |