Therese Marie Lucietto-Sierad in Belvidere - Addiction Medicine
Therese Marie Lucietto-Sierad - NPI 1699708636
Therese Marie Lucietto-Sierad is a Addiction Medicine in Belvidere, Illinois. Therese Marie Lucietto-Sierad practices all healthcare services and medical treatments related to Addiction Medicine. The NPI Number for Therese Marie Lucietto-Sierad is 1699708636. The last update date is 2020-06-24.
Therese Marie Lucietto-Sierad's current location address is Po Box 298, Belvidere, Illinois. You can contact this provider via phone number 8155440087 and fax number 8155440088. The mailing address for Therese Marie Lucietto-Sierad is Po Box 298, Belvidere, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Therese Marie Lucietto-Sierad |
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Address | Po Box 298, Belvidere, Illinois |
Phone Number | 8155440087 |
Fax Number | 8155440088 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1699708636 |
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Provider Enumeration Date | 2006-07-09 |
Last Updated Date | 2020-06-24 |
Provider Mailing Address Detail
Address | Po Box 298 |
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City | Belvidere |
State | Illinois (IL) |
Post Code | 610080298 |
Phone Number | 8155440087 |
Fax Number | 8155440088 |
Provider's Primary Taxonomy Detail
Speciality | Addiction Medicine |
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Taxonomy | 207Qa0401X |
Licence No | 36102862 |
Definition: A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
7132017 | IL | BLUE CROSS BLUE SHIELD ID | |
148976 | IL | MEDICARE-RIVERBEND ID | |
201772810001 | IL | MEDICAID RURAL HEALTH ID | |
36102862 | IL | -- |
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What is the unique identifier code issued to Therese Marie Lucietto-Sierad by the Centers for Medicare & Medicaid Services?
The Therese Marie Lucietto-Sierad has been assigned the NPI (National Provider Identifier) 1699708636. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Therese Marie Lucietto-Sierad located?
The Therese Marie Lucietto-Sierad is located at Po Box 298, Belvidere, IL 610080298.
What is the Therese Marie Lucietto-Sierad's specialty and taxonomy code?
The Therese Marie Lucietto-Sierad's specialty is Addiction Medicine, and the corresponding taxonomy code is 207Qa0401X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1699708636 to Therese Marie Lucietto-Sierad?
The Centers for Medicare & Medicaid Services originally issued the 1699708636 to Therese Marie Lucietto-Sierad on 2006-07-09.
As of what date were the Therese Marie Lucietto-Sierad's details last updated?
The information pertaining to the Therese Marie Lucietto-Sierad, including its address, specialty, and other details, was most recently updated on 2020-06-24.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY