Ricardo C Dizon M.D. L.T.D.

NPI 1639193998 - Family Medicine - 207Q00000X

NPI Details
NPI 1639193998
Gender Male
Enumeration Date 07/27/2006
Last Updated 12/01/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1907 S CICERO AVE
CICERO IL, 60804-2546, US
Phone (708) 656-3666
Fax (708) 656-3612
Business Location
1907 S CICERO AVE
CICERO IL, 60804-2546, US
Phone (708) 656-3666
Fax (708) 656-3612
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036049486
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According to our database, Ricardo C Dizon M.D. L.T.D. NPI is 1639193998, taxonomy code is 207Q00000X and license number is 036049486, license state is located at Illinois. Ricardo C Dizon M.D. L.T.D. physically located at 1907 S Cicero Ave, Cicero IL, 60804-2546. NPI Number Ricardo C Dizon M.D. L.T.D. has the Individual type.

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1639193998 NPI number is provided on an as is basis without warranty of any kind. 1639193998 is maintained by the National Plan & Provider Enumeration System. The contents of Ricardo C Dizon M.D. L.T.D. are for informational purposes only.