Cicero Medical Clinica San Lazaro Llc in Cicero - Family Medicine

Cicero Medical Clinica San Lazaro Llc - NPI 1295822716

Cicero Medical Clinica San Lazaro Llc is a Family Medicine in Cicero, Illinois. Cicero Medical Clinica San Lazaro Llc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Cicero Medical Clinica San Lazaro Llc is 1295822716. The last update date is 2009-07-16.

Cicero Medical Clinica San Lazaro Llc's current location address is 5712 W 35th St, Cicero, Illinois. You can contact this provider via phone number 7086565485 and fax number 7086565657. The mailing address for Cicero Medical Clinica San Lazaro Llc is 5712 W 35th St, Cicero, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cicero Medical Clinica San Lazaro Llc
Address 5712 W 35th St, Cicero, Illinois
Phone Number 7086565485
Fax Number 7086565657
Sole Proprietor --
Credentials --

Authorized Official

Title or Position REGISTERED
Authorized Official Name Licea Gerard
Credentials MBA
Telephone Number 7086565485

NPI Number Detail

NPI Number 1295822716
Provider Enumeration Date 2006-10-06
Last Updated Date 2009-07-16

Provider Mailing Address Detail

Address 5712 W 35th St
City Cicero
State Illinois (IL)
Post Code 608044222
Phone Number 7086565485
Fax Number 7086565657

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DF0534 IL RAILROAD MEDICARE
179982 IL HEALTHSPRING
1636532 IL BLUE CROSS BLUE SHIELD

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FAQs about Cicero Medical Clinica San Lazaro Llc

What is the unique 10-digit identifier code assigned to Cicero Medical Clinica San Lazaro Llc by the Centers for Medicare & Medicaid Services?

The Cicero Medical Clinica San Lazaro Llc has been issued the NPI (National Provider Identifier) 1295822716 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Cicero Medical Clinica San Lazaro Llc is geographically located?

The Cicero Medical Clinica San Lazaro Llc is physically situated at the following location: 5712 W 35Th St, Cicero, IL, 608044222.

What is Cicero Medical Clinica San Lazaro Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Cicero Medical Clinica San Lazaro Llc is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did Cicero Medical Clinica San Lazaro Llc receive its 1295822716 assignment from the Centers for Medicare & Medicaid Services?

The Cicero Medical Clinica San Lazaro Llc was assigned its 1295822716 on 2006-10-06, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Cicero Medical Clinica San Lazaro Llc most recently updated or refreshed?

The details pertaining to the Cicero Medical Clinica San Lazaro Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-07-16.

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