Rosaura Licea, MD | |
5712 W 35th St, Cicero, IL 60804-4222 | |
(708) 656-5485 | |
(708) 656-5657 |
Full Name | Rosaura Licea |
---|---|
Gender | Female |
Speciality | Family Practice |
Experience | 31 Years |
Location | 5712 W 35th St, Cicero, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548299225 | NPI | - | NPPES |
036091269 | Medicaid | IL | |
K30405 | Other | IL | MEDICARE INDIVIDUAL PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036-091269 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Macneal Hospital | Berwyn, IL | Hospital |
Entity Name | Cook County |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
Entity Name | Cicero Medical Clinica San Lazaro Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295822716 PECOS PAC ID: 0143226324 Enrollment ID: O20061011000332 |
Mailing Address | Practice Location Address |
---|---|
Rosaura Licea, MD 5712 W 35th St, Cicero, IL 60804-4222 Ph: (708) 656-5485 | Rosaura Licea, MD 5712 W 35th St, Cicero, IL 60804-4222 Ph: (708) 656-5485 |
Roselia Herrera, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6039 W Cermak Rd, Cicero, IL 60804 Phone: 708-652-0056 Fax: 708-652-9397 | |
Ruchir Thakkar, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5741 W Cermak Rd, Cicero, IL 60804 Phone: 708-222-0100 Fax: 708-222-0102 | |
Mrs. Francisco Avalos, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6001 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-5230 Fax: 708-656-6610 | |
Mr. Arturo I Lema, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6001 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-5230 Fax: 708-656-6610 | |
Mrs. Silvia Juarez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6001 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-5230 Fax: 708-656-6610 | |
Alfred Joseph Martin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5912 W Cermak Rd, Cicero, IL 60804 Phone: 708-783-9800 | |
Hernan Reyes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5610 W Cermak Rd, Unit #2, Cicero, IL 60804 Phone: 708-656-9247 Fax: 708-656-9358 |