JAIME HUMBERTO CERCONE M.D. NPI 1295804722

NPI Information

NPI: 1295804722
Provider Name: JAIME HUMBERTO CERCONE, M.D.
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
501 W MILTON AVE
LEWISTOWN, IL
ZIP 61542
Phone: (309) 547-2135
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Jaime Humberto Cercone, M.D. is a general practice in Lewistown, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Jaime Humberto Cercone, M.D. NPI is 1295804722. 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:

501 W MILTON AVE
LEWISTOWN, IL
ZIP 61542-322
Phone: (309) 547-2135
Fax: (309) 547-1560

The enumeration date for this NPI number is 11/7/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice			ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D14287	MEDICARE UPIN	ILLINOIS
2	166124	MEDICAID	ILLINOIS

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: 5/5/2024

NPI Synchronization or Removal

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