Rosaura Licea is a Family Medicine in Cicero, Illinois. Rosaura Licea practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Rosaura Licea is 1548299225. The last update date is 2009-07-16.
Rosaura Licea'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 Rosaura Licea is 5712 W 35th St, Cicero, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rosaura Licea |
|---|---|
| Address | 5712 W 35th St, Cicero, Illinois |
| Phone Number | 7086565485 |
| Fax Number | 7086565657 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1548299225 |
|---|---|
| Provider Enumeration Date | 2006-07-03 |
| 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 |
| Licence No | 036-091269 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36091269 | IL | -- | |
| K30405 | IL | MEDICARE INDIVIDUAL PTAN |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Rosaura Licea by the Centers for Medicare & Medicaid Services?
The Rosaura Licea has been assigned the NPI (National Provider Identifier) 1548299225 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Rosaura Licea's physical address?
The Rosaura Licea is physically located at 5712 W 35Th St, in the city of Cicero, IL, with the postal code 608044222.
What is Rosaura Licea's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Rosaura Licea is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1548299225 to Rosaura Licea?
The Centers for Medicare & Medicaid Services assigned the 1548299225 to Rosaura Licea on 2006-07-03.
As of what date were the details related to Rosaura Licea most recently updated or revised?
The information pertaining to Rosaura Licea, including its address, specialty, and other relevant details, was last updated or revised on 2009-07-16.