Licudine & Licudine MD SC
Licudine & Licudine MD SC provides Family Medicine Physician services in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
4758 W Washington BlvdChicago, IL 60644-3619 Not confirmed with CMS for 16 years — call before visiting
Phone: (773) 379-4348
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence 036051696 (IL) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 036046217 (IL) |
Record details
| NPI number | 1538245832 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Normita Licudine — Secretary · (773) 379-4348 |
| NPI enumerated | October 29, 2006 |
| Last updated in NPPES | April 13, 2010 |
| Mailing address | 7049 N Kilpatrick Ave, Lincolnwood, IL 60712-2128 |
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