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ROSELIA HERRERA MD SC NPI 1013186840


NPI Information

NPI: 1013186840
Provider Name: ROSELIA HERRERA MD SC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
6039 W CERMAK RD
CICERO, IL
ZIP 60804
Phone: (708) 652-0056
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ROSELIA HERRERA MD SC is a family medicine in Cicero, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROSELIA HERRERA MD SC NPI is 1013186840. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6039 W CERMAK RD
CICERO, IL
ZIP 60804-021
Phone: (708) 652-0056

The provider's authorized official is Roselia Herrera .
The authorized official title is Physician and has the following contact phone number (708) 652-0056.

The enumeration date for this NPI number is 2/26/2008 and was last updated on 4/20/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101633515OTHERILLINOISBLUE CROSS BLUE SHIELD
2=========OTHERCOMMERCIAL
3K01487MEDICARE UPINILLINOIS
4207167MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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