Roger Alan Lucero in Chicago - Geriatric Medicine
Roger Alan Lucero - NPI 1093851164
Roger Alan Lucero is a Geriatric Medicine in Chicago, Illinois. Roger Alan Lucero practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Roger Alan Lucero is 1093851164. The last update date is 2013-04-29.
Roger Alan Lucero's current location address is 4001 W. Devon Ave., Chicago, Illinois. You can contact this provider via phone number 7739304538 and fax number 7739304662. The mailing address for Roger Alan Lucero is 4001 W. Devon Ave., Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Roger Alan Lucero |
|---|---|
| Address | 4001 W. Devon Ave., Chicago, Illinois |
| Phone Number | 7739304538 |
| Fax Number | 7739304662 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093851164 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2013-04-29 |
Provider Mailing Address Detail
| Address | 4001 W. Devon Ave. |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60646 |
| Phone Number | 7739304538 |
| Fax Number | 7739304662 |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Rg0300X |
| Licence No | 36057435 |
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Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36-057435 | IL | -- | |
| 364377050-60004 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Roger Alan Lucero by the Centers for Medicare & Medicaid Services?
The Roger Alan Lucero has been assigned the NPI (National Provider Identifier) 1093851164. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Roger Alan Lucero is physically located?
The Roger Alan Lucero is physically situated at the following address: 4001 W. Devon Ave., Chicago, IL, 60646.
What is Roger Alan Lucero's specialized field of practice, and what is the corresponding taxonomy classification code?
The Roger Alan Lucero's area of specialization is Geriatric Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Rg0300X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1093851164 to Roger Alan Lucero?
The Centers for Medicare & Medicaid Services originally issued the 1093851164 to Roger Alan Lucero on 2007-01-29.
As of what date were the Roger Alan Lucero's details last updated?
The information pertaining to the Roger Alan Lucero, including its address, specialty, and other details, was most recently updated on 2013-04-29.