| Roselia Herrera Md Sc | |
|
6039 W Cermak Rd Cicero IL 60804-2021 | |
| (708) 652-0056 | |
| Not Available |
| Full Name | Roselia Herrera Md Sc |
|---|---|
| Speciality | Family Medicine |
| Location | 6039 W Cermak Rd, Cicero, Illinois |
| Authorized Official Name and Position | Roselia Herrera (PHYSICIAN) |
| Authorized Official Contact | 7086520056 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roselia Herrera Md Sc 6039 W Cermak Rd Cicero IL 60804-2021 Ph: (708) 652-0056 | Roselia Herrera Md Sc 6039 W Cermak Rd Cicero IL 60804-2021 Ph: (708) 652-0056 |
| NPI Number | 1013186840 |
|---|---|
| Provider Enumeration Date | 02/26/2008 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 5092629642 |
|---|---|
| Medicare Enrollment ID | O20031118000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013186840 | NPI | - | NPPES |
| 036105062 | Medicaid | IL | |
| 01633515 | Other | IL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036105062 (Illinois) | Primary |
| Provider Name | Roselia Herrera Villasenor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124066162 PECOS PAC ID: 5597679142 Enrollment ID: I20031205000546 |
Mk Medical Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5729 W Cermak Rd, Cicero, IL 60804 Phone: 708-477-6525 | |
Kid Care Doctors Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2240 S Cicero Ave, Cicero, IL 60804 Phone: 708-222-9170 Fax: 708-222-9173 | |
Lr Health Management, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 S 57th Ave, Cicero, IL 60804 Phone: 312-375-7145 Fax: 708-652-5424 | |
Cook County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2423 S Austin Blvd, Cicero, IL 60804 Phone: 708-656-1130 | |
Hernan Reyes Md Sc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5610 W Cermak Rd, Unit #2, Cicero, IL 60804 Phone: 708-656-9247 Fax: 708-656-9358 | |
Alivio Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4842 W Cermak Rd, Cicero, IL 60804 Phone: 312-829-6304 Fax: 708-660-0349 |