CICERO MEDICAL CLINICA SAN LAZARO LLC

CICERO, IL
NPI1295822716
Entity TypeOrganization
Authorized ContactGERARD LICEA
Registered Agent
708-656-5485
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-10-06
Last Update Date2009-07-16
Business Address
CICERO MEDICAL CLINICA SAN LAZARO LLC
5712 W 35TH ST
CICERO, IL 60804-4222
Phone number: 708-656-5485
Mailing Address
CICERO MEDICAL CLINICA SAN LAZARO LLC
5712 W 35TH ST
CICERO, IL 60804-4222
Phone number: 708-656-5485
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