Santiago, Luis F

Santiago, Luis F is an individual health care provider with primary practice located at 5533 W Cermak Rd , Cicero IL 60804-2236. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Santiago, Luis F can be contacted via phone (708) 780-7612.

Contact Information

Primary practice address
5533 W Cermak Rd Cicero IL 60804-2236
Phone: (708) 780-7612
Fax: (708) 780-9122
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Illinois
Allopathic & Osteopathic Physicians / General Practice 208D00000X Illinois

Profile Details

NPI number 1871507236
LBN Legal business name Santiago, Luis F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Mar 31st, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871507236 NPPES
Illinois Other L015046 TRICARE
Illinois Other 01618077 TRICARE

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