person
Jaime Humberto Cercone, MD
General Practice Physician in Lewistown, Illinois
NPI 1295804722

Jaime Humberto Cercone is a General Practice Physician based in Lewistown, IL. Jaime Humberto Cercone practices in Lewistown, IL and has the professional credentials of MD. The NPI Number for Jaime Humberto Cercone is 1295804722 and holds a License No. (Illinois).

The current practice location address for Jaime Humberto Cercone is 501 W Milton Ave, Lewistown, IL and can be reached out via phone at 309-547-2135 and via fax at 309-547-1560.

Location: 501 W Milton Ave, Lewistown, IL, 61542-1322
person
Provider Profile Details
NPI Number
1295804722
Provider Name
Jaime Humberto Cercone
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
501 W Milton Ave, Lewistown, IL, 61542-1322
Phone Number
309-547-2135
Fax Number
309-547-1560
Provider Enumeration Date
11/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
166124 05 IL
institution
Provider Business Practice Location Address Details
Address
501 W Milton Ave
City
State
Zip
61542-1322
Phone Number
309-547-2135
Fax Number
309-547-1560
person
Provider Business Mailing Address Details
Address
501 W Milton Ave
City
State
Zip
61542-1322
Phone Number
309-547-2135
Fax Number
309-547-1560
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
(Illinois)
Definition
Definition to come...
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