| Rosaura Licea, MD | |
|
5712 W 35th St, Cicero, IL 60804-4222 | |
| (708) 656-5485 | |
| (708) 656-5657 |
| Full Name | Rosaura Licea |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 33 Years |
| Location | 5712 W 35th St, Cicero, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548299225 | NPI | - | NPPES |
| 036091269 | Medicaid | IL | |
| K30405 | Other | IL | MEDICARE INDIVIDUAL PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036-091269 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Macneal Hospital | Berwyn, IL | Hospital |
| Entity Name | Cook County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747 |
| Entity Name | Cicero Medical Clinica San Lazaro Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295822716 PECOS PAC ID: 0143226324 Enrollment ID: O20061011000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Rosaura Licea, MD 5712 W 35th St, Cicero, IL 60804-4222 Ph: (708) 656-5485 | Rosaura Licea, MD 5712 W 35th St, Cicero, IL 60804-4222 Ph: (708) 656-5485 |
Emily Ann Goodlin, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 3040 S Cicero Ave, Cicero, IL 60804 Phone: 708-780-9777 | |
Roselia Herrera, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6039 W Cermak Rd, Cicero, IL 60804 Phone: 708-652-0056 Fax: 708-652-9397 | |
Ruchir Thakkar, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5741 W Cermak Rd, Cicero, IL 60804 Phone: 708-222-0100 Fax: 708-222-0102 | |
Mrs. Francisco Avalos, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 6001 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-5230 Fax: 708-656-6610 | |
Mr. Arturo I Lema, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6001 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-5230 Fax: 708-656-6610 | |
Mrs. Silvia Juarez, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6001 W Cermak Rd, Cicero, IL 60804 Phone: 708-656-5230 Fax: 708-656-6610 | |
Alfred Joseph Martin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5912 W Cermak Rd, Cicero, IL 60804 Phone: 708-783-9800 |