| Lillian Rochelle Sj Deleon, Md Pc | |
|
2701 W 68th St 2s Chicago IL 60629-1813 | |
| (773) 884-7922 | |
| Not Available |
| Full Name | Lillian Rochelle Sj Deleon, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2701 W 68th St, Chicago, Illinois |
| Authorized Official Name and Position | Lillian Rochelle Sj Deleon (PROVIDER) |
| Authorized Official Contact | 7738847922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lillian Rochelle Sj Deleon, Md Pc 1701 Fairfax Ln Oakbrook Terrace IL 60181-5247 Ph: (773) 884-7922 | Lillian Rochelle Sj Deleon, Md Pc 2701 W 68th St 2s Chicago IL 60629-1813 Ph: (773) 884-7922 |
| NPI Number | 1811165376 |
|---|---|
| Provider Enumeration Date | 02/18/2008 |
| Last Update Date | 02/18/2008 |
| Medicare PECOS PAC ID | 5294904447 |
|---|---|
| Medicare Enrollment ID | O20110804000719 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811165376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Illinois) | Primary |
| Provider Name | Lillian R De Leon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134142193 PECOS PAC ID: 1355510397 Enrollment ID: I20110809000718 |
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