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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LAKE CICERO CLINIC, S.C.

Active Organization

LAKE CICERO CLINIC, S.C. is a Internal Medicine organization located in CHICAGO, Illinois. NPI 1336498062 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · CHICAGO, IL

Registration Details

NPI Number
1336498062
Provider Type
Organization
NPI Issued
Sep 10, 2012 (13.941801630723 yrs)
Last Updated
Sep 10, 2012
License
036085519 (IL)

Practice Information

Address
4801 W LAKE ST
CHICAGO, IL, 606442609
Browse IL providers · Browse ZIP 60644
Phone
7733788100
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.