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Luis J Caceres, MD
Specialist in Decatur, Illinois
NPI 1942381496

Luis J Caceres is a Specialist based in Decatur, IL. Luis J Caceres practices in Decatur, IL and has the professional credentials of MD. The NPI Number for Luis J Caceres is 1942381496 and holds a License No. 036-084129 (Illinois).

The current practice location address for Luis J Caceres is 1770 E Lake Shore Dr Ste 105, Decatur, IL and can be reached out via phone at 217-422-6100 and via fax at 833-784-5326. You can also correspond with Luis J Caceres through the mailing address at 1770 E LAKE SHORE DR STE 105, DECATUR, IL - 62521-3800 (mailing address contact number: 217-422-6100).

Location: 1770 E Lake Shore Dr Ste 105, Decatur, IL, 62521-3800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942381496
Provider Name
Luis J Caceres
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1770 E Lake Shore Dr Ste 105, Decatur, IL, 62521-3800
Phone Number
217-422-6100
Fax Number
833-784-5326
Provider Enumeration Date
10/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
060045170 01 IL RAILROAD
036084129 05 IL
institution
Provider Business Practice Location Address Details
Address
1770 E Lake Shore Dr Ste 105
City
Decatur
State
Illinois
Zip
62521-3800
Phone Number
217-422-6100
Fax Number
833-784-5326
person
Provider Business Mailing Address Details
Address
1770 E Lake Shore Dr Ste 105
City
Decatur
State
Illinois
Zip
62521-3800
Phone Number
217-422-6100
Fax Number
833-784-5326
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
036-084129 (Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
036-084129 (Illinois)
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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