Provider Demographics
NPI:1376658591
Name:RILEY P. LLOYD, MD, SC
Entity Type:Organization
Organization Name:RILEY P. LLOYD, MD, SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RILEY
Authorized Official - Middle Name:PERRY
Authorized Official - Last Name:LLOYD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-570-9500
Mailing Address - Street 1:800 AUSTIN ST STE 354
Mailing Address - Street 2:ST FRANCIS PROFESSIONAL BLDG
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3454
Mailing Address - Country:US
Mailing Address - Phone:847-570-9500
Mailing Address - Fax:847-570-9505
Practice Address - Street 1:800 AUSTIN ST STE 354
Practice Address - Street 2:ST FRANCIS PROFESSIONAL BLDG
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3454
Practice Address - Country:US
Practice Address - Phone:847-570-9500
Practice Address - Fax:847-570-9505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-20
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL01607761OtherBCBS
IL01607761OtherBCBS