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Dr. Therese Marie Lucietto-sieradzki, MD
Family Medicine Physician in Belvidere, Illinois
NPI 1699708636

Therese Marie Lucietto-sieradzki is a Family Medicine Physician based in Belvidere, IL. Therese Marie Lucietto-sieradzki practices in Belvidere, IL and has the professional credentials of MD. The NPI Number for Therese Marie Lucietto-sieradzki is 1699708636 and holds a License No. 036102862 (Illinois).

The current practice location address for Therese Marie Lucietto-sieradzki is 205 Cadillac Ct Ste 7, Belvidere, IL and can be reached out via phone at 815-544-0087 and via fax at 815-544-0088.

Location: 205 Cadillac Ct Ste 7, Belvidere, IL, 61008-0298
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699708636
Provider Name
Therese Marie Lucietto-sieradzki
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
205 Cadillac Ct Ste 7, Belvidere, IL, 61008-0298
Phone Number
815-544-0087
Fax Number
815-544-0088
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07132017 01 IL BLUE CROSS BLUE SHIELD ID
148976 01 IL MEDICARE-RIVERBEND ID
201772810001 01 IL MEDICAID RURAL HEALTH ID
036102862 05 IL
institution
Provider Business Practice Location Address Details
Address
205 Cadillac Ct Ste 7
City
Belvidere
State
Illinois
Zip
61008-1733
Phone Number
815-544-0087
Fax Number
815-544-0088
person
Provider Business Mailing Address Details
Address
205 Cadillac Ct Ste 7
City
Belvidere
State
Illinois
Zip
61008-1733
Phone Number
815-544-0087
Fax Number
815-544-0088
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
036102862 (Illinois)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
036102862 (Illinois)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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