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

LICUDINE & LICUDINE MD SC

Active Organization

LICUDINE & LICUDINE MD SC is a Family Medicine organization located in CHICAGO, Illinois. NPI 1538245832 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · CHICAGO, IL

Registration Details

NPI Number
1538245832
Provider Type
Organization
NPI Issued
Oct 29, 2006 (19.793401943703 yrs)
Last Updated
Apr 13, 2010
Licenses
036046217 (IL)
036051696 (IL)

Practice Information

Address
4758 W WASHINGTON BLVD
CHICAGO, IL, 606443619
Browse IL providers · Browse ZIP 60644
Phone
7733794348
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine
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.