LUIS F. SANTIAGO M.D. S.C. NPI 1154593051

NPI Information

NPI: 1154593051
Provider Name: LUIS F. SANTIAGO, M.D., S.C.
Classification: Clinic/Center - 261QP2300X
Specialization: Primary Care
Entity Type: Organization
Former Legal Business Name: LUIS F. SANTIAGO, MD
Address: 5533 W CERMAK RD
CICERO, IL
ZIP 60804
Phone: (708) 780-7612

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NPI Details

LUIS F. SANTIAGO, M.D., S.C. is a primary care clinic center in Cicero, IL. LUIS F. SANTIAGO, M.D., S.C. NPI is 1154593051. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Luis F. Santiago, Md.

The provider's business location address is:

5533 W CERMAK RD
CICERO, IL
ZIP 60804-236
Phone: (708) 780-7612
Fax: (708) 780-9122

The provider's authorized official is Luis F Santiago .
The authorized official title is President and has the following contact phone number (708) 780-7612.

The enumeration date for this NPI number is 3/31/2008 and was last updated on 3/31/2008.

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	261QP2300X	Clinic/Center	Primary Care		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	L015046	OTHER	ILLINOIS	TRICARE
2	908060	MEDICARE PIN	ILLINOIS
3	E19360	MEDICARE UPIN	ILLINOIS
4	01618077	OTHER	ILLINOIS	BLUE CROSS BLUE SHIELD

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: 3/30/2025

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