Search › Illinois › 207Q00000X
Rosaura Licea, MD
NPI 1548299225 · on the registry since 2006
Practice
- Address
- 5712 W 35th St
Cicero, IL 60804 - Phone
- (708) 656-5485
- Fax
- (708) 656-5657
- Organisation at this address
- Cicero Medical Clinica San Lazaro Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois