ROSAURA LICEA

CICERO, IL
NPI1548299225
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036-091269)
Enumeration Date2006-07-03
Last Update Date2009-07-16
Business Address
-- ROSAURA LICEA MD
5712 W 35TH ST
CICERO, IL 60804-4222
Phone number: 708-656-5485
Mailing Address
-- ROSAURA LICEA MD
5712 W 35TH ST
CICERO, IL 60804-4222
Phone number: 708-656-5485
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