ROSAURA LICEA, MD

Family Medicine

Active Individual
NPI: 1548299225

Practice Address

5712 W 35TH ST
Cicero, IL 60804

Phone: (708) 656-5485

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes 036-091269 (IL)

Frequently Asked Questions

NPI 1548299225 is the National Provider Identifier for ROSAURA LICEA, MD, a Family Medicine provider located in Cicero, IL. This NPI was enumerated on July 3, 2006.
ROSAURA LICEA, MD practices at 5712 W 35TH ST, Cicero, IL 60804.

Quick Facts

NPI
1548299225
Type
Individual
Enumerated
Jul 3, 2006
Last Updated
Jul 16, 2009

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