institution
Dr Richard Moncebaiz Dcpc
Corporate Health Clinic/Center in Cicero, Illinois
NPI 1396963500

Dr Richard Moncebaiz Dcpc is a Corporate Health Clinic/Center based in Cicero, IL and is specialized in Corporate Health. Dr Richard Moncebaiz Dcpc practices in Cicero, IL. The NPI Number for Dr Richard Moncebaiz Dcpc is 1396963500 and holds a License No. 060004777 (Illinois).

The current practice location address for Dr Richard Moncebaiz Dcpc is 5623 W Cermak Rd, Cicero, IL and can be reached out via phone at 708-863-1001 and via fax at 708-863-2641.

Location: 5623 W Cermak Rd, Cicero, IL, 60804-2220
institution
Provider Profile Details
NPI Number
1396963500
Provider Name
Dr Richard Moncebaiz Dcpc
Credential
Provider Entity Type
Organization
Address
5623 W Cermak Rd, Cicero, IL, 60804-2220
Phone Number
708-863-1001
Fax Number
708-863-2641
Provider Enumeration Date
04/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01682747-34 01 IL BCBS
institution
Provider Business Practice Location Address Details
Address
5623 W Cermak Rd
City
State
Zip
60804-2220
Phone Number
708-863-1001
Fax Number
708-863-2641
person
Provider Business Mailing Address Details
Address
5623 W Cermak Rd
City
State
Zip
60804-2220
Phone Number
708-863-1001
Fax Number
708-863-2641
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Corporate Health
Taxonomy
License No.
060004777 (Illinois)
Definition
Definition to come...
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