Ricardo C. Dizon Md Ltd | |
1907 S Cicero Ave Cicero IL 60804-2546 | |
(708) 656-3666 | |
Not Available |
Full Name | Ricardo C. Dizon Md Ltd |
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Speciality | Family Medicine |
Location | 1907 S Cicero Ave, Cicero, Illinois |
Authorized Official Name and Position | Ricardo C Dizon (PRESIDENT) |
Authorized Official Contact | 7086563666 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ricardo C. Dizon Md Ltd 1907 S Cicero Ave Cicero IL 60804-2546 Ph: (708) 656-3666 | Ricardo C. Dizon Md Ltd 1907 S Cicero Ave Cicero IL 60804-2546 Ph: (708) 656-3666 |
NPI Number | 1740454107 |
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Provider Enumeration Date | 04/16/2008 |
Last Update Date | 12/01/2011 |
Medicare PECOS PAC ID | 0840450615 |
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Medicare Enrollment ID | O20120402000444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740454107 | NPI | - | NPPES |
036049486 | Medicaid | IL | |
487080 | Other | IL | MEDICARE ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036049486 (Illinois) | Primary |
Provider Name | Ricardo Dizon |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1639193998 PECOS PAC ID: 9931117264 Enrollment ID: I20080816000035 |
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