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MR. ROGER ALAN LUCERO M.D. NPI 1093851164


NPI Information

NPI: 1093851164
Provider Name: MR. ROGER ALAN LUCERO, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
4001 W DEVON AVE
STE. 207
CHICAGO, IL
ZIP 60646
Phone: (773) 930-4538
Get Directions

MR. Roger Alan Lucero, M.D. is a geriatric medicine internal medicine in Chicago, IL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MR. Roger Alan Lucero, M.D. NPI is 1093851164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4001 W DEVON AVE
STE. 207
CHICAGO, IL
ZIP 60646-523
Phone: (773) 930-4538
Fax: (773) 930-4662

The enumeration date for this NPI number is 1/29/2007 and was last updated on 4/29/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RG0300XInternal MedicineGeriatric Medicine36057435ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1L80151MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
2364377050-60004-01MEDICAIDILLINOIS
3L81301MEDICARE UPINILLINOIS
4C43678MEDICARE UPINILLINOIS
536-057435MEDICAIDILLINOIS
677248999781391MEDICARE PINILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.