OTILIO MELERO MDSC NPI 1063687804

NPI Information

  • NPI: 1063687804
  • Provider Name: OTILIO MELERO MDSC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 5430 S KEDZIE AVE
    CHICAGO, IL
    ZIP 60632
  • Phone: (773) 471-2411

Map and Directions

Get Directions

NPI Details

OTILIO MELERO MDSC is a family medicine in Chicago, IL. The provider is 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. OTILIO MELERO MDSC NPI is 1063687804. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5430 S KEDZIE AVE
CHICAGO, IL
ZIP 60632-620
Phone: (773) 471-2411
Fax: (773) 471-9703

The provider's authorized official is Otilio N Melero .
The authorized official title is President and has the following contact phone number (773) 471-2411.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 1/27/2012.

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
1207Q00000XFamily Medicine036069929ILLINOISYes

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=========OTHERILLINOISCOMMERCIAL INS
2212536MEDICARE PIN
31635894OTHERILLINOISBCBS OF IL

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI